Search › Washington › 1041C0700X
Shelley Maryott-Moore, LICSW, GMHS, CMHS
NPI 1720103708 · on the registry since 2007
Practice
- Address
- 921-14th Ave.
Longview, WA 98632 - Phone
- (360) 423-0203
- Fax
- (360) 423-2311
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington