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General NPI Number Information
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NPI Number | 1346077393
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Entity Type | Organization
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Legal Business Name | MOORING COUNSELING AND CONSULTING, PLLC
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 6314 19TH ST W STE 7
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City | FIRCREST
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State | WA
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Zip | 98466-6223
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Country | US
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Telephone | 253-345-9457
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Fax |
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Provider Business Mailing Address
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Address Line | 2823 180TH STREET CT E
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City | TACOMA
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State | WA
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Zip | 98445-1201
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Country | US
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Telephone | 206-858-2559
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORK THERAPIST
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Name | SALLY H KIM
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Credential | MSW, LICSW
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Telephone | 253-345-9457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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