Most Relevant Information
Provider Data
| NPI Number: | 1003531617 |
| Provider Name: | COURTNEY MOORE MSW, LCSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P018364 |
Most Important Dates
| Enumeration Date: | 10/05/2022 |
| Last Updated: | 10/10/2022 |
Provider Practice Location
10243 GLENBURN LN
CHARLOTTE
NC
282786002
Practice Location Phone/Fax
| Phone: | 5734891106 |
| Fax: |
Provider Mailing Location
10243 GLENBURN LN
CHARLOTTE
NC
282786002
Provider Mailing Phone/Fax
| Phone: | 5734891106 |
| Fax: |