Provider Demographics
NPI:1922136720
Name:MOORE, DAVID FRANCOIS (MSW, LMSW, LMFT, ACS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:FRANCOIS
Last Name:MOORE
Suffix:
Gender:M
Credentials:MSW, LMSW, LMFT, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3437 HAWK WOODS CIR
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-1862
Mailing Address - Country:US
Mailing Address - Phone:248-875-9562
Mailing Address - Fax:248-608-1448
Practice Address - Street 1:3437 HAWK WOODS CIR
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-1862
Practice Address - Country:US
Practice Address - Phone:248-875-9562
Practice Address - Fax:248-608-1448
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010196391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0896918OtherBLUE CROSS
MI6801019639OtherLICENSE
MI6801019639OtherLICENSE