| Mr Fredrick Allen Moore Sr, LISW | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-5174 | |
| Not Available |
| Full Name | Mr Fredrick Allen Moore Sr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356857650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LMSW-16287 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2002107 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Fredrick Allen Moore Sr, LISW 520 Waldron St, Travis Afb, CA 94535-2119 Ph: (707) 424-1676 | Mr Fredrick Allen Moore Sr, LISW 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5174 |
Mr. John Edward Simons, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 | |
Jennifer Magnuson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 | |
Larry D Kirsch, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 | |
Dr. Michael Byron Slack, PH.D Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, David Grant Medical Center, Travis Afb, CA 94535 Phone: 707-423-3811 | |
Jeffrey James Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3709 | |
Taylor Murrie-robinson, MSW, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5174 | |
David M Weller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 |