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Contact Information

ANDREW C MOORE, LSW
201 MEDICAL PARK DR
DOVER, OH44622
 Phone: 330-343-6631
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ANDREW C MOORE · (Male)

NPI Number 1336840461
Status Active
Credentials LSW (Licensed Social Workers)
Entity Individual
Enumeration date 03/15/2023
Last updated 03/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OH License # S.2005084
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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