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Individual
MR. KEYVEN KARDELL MOORE
Active
Individual
MR. KEYVEN KARDELL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA., MHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
17033
TX
101YM0800X
Mental Health Counselor
Primary
17033
TX
103K00000X
Behavior Analyst
17033
TX
104100000X
Social Worker
17033
TX
Other
Enumeration date
05/07/2008
Last updated
01/19/2011
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