Individual
AI LING MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(314) 978-2060
Mailing address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007027737
MO
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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