Moore, Mary Wells

Moore, Mary Wells is an individual health care provider with primary practice located at 3660 Vista 105, St Louis MO 63110-2540. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Moore, Mary Wells can be contacted via phone (314) 977-6008.

Contact Information

Primary practice address
3660 Vista 105 St Louis MO 63110-2540
Phone: (314) 977-6008
Fax: (314) 977-5134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 000456 Missouri

Profile Details

NPI number 1386851012
LBN Legal business name Moore, Mary Wells
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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