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Individual
KRISTIN MOORE
Active
Individual
KRISTIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
149018302
IL
101Y00000X
Counselor
SW18129
FL
101YM0800X
Mental Health Counselor
149018302
IL
101YM0800X
Mental Health Counselor
FL18129
FL
101YP2500X
Professional Counselor
149018302
IL
101YP2500X
Professional Counselor
SW18129
FL
1041C0700X
Clinical Social Worker
Primary
149018302
IL
Other
Enumeration date
04/04/2016
Last updated
02/18/2024
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