Most Relevant Information
Provider Data
| NPI Number: | 1003356262 |
| Provider Name: | ALLEN CHARLES MOORE MSW, LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | LSW0000007508 |
Most Important Dates
| Enumeration Date: | 03/06/2017 |
| Last Updated: | 03/06/2017 |
Provider Practice Location
2400 HOSPITAL RD
TUSKEGEE
AL
360835001
Practice Location Phone/Fax
| Phone: | 3347270550 |
| Fax: |
Provider Mailing Location
PO BOX 830105
TUSKEGEE
AL
360830105
Provider Mailing Phone/Fax
| Phone: | 2059153365 |
| Fax: |