Provider Demographics
NPI:1033808506
Name:MOORE, ALLISON JULIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:JULIA
Last Name:MOORE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:NH
Mailing Address - Zip Code:03084-0087
Mailing Address - Country:US
Mailing Address - Phone:603-320-2350
Mailing Address - Fax:
Practice Address - Street 1:317 NH ROUTE 45
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:NH
Practice Address - Zip Code:03084-4213
Practice Address - Country:US
Practice Address - Phone:603-320-2350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW2280491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical