Individual
MS. KELLY WATKINS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 743-2904
Mailing address
463 WESTFIELD BLVD, APT 913, TEMPLE, TX 76502-5318
(254) 743-2904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
35991
TX
1041C0700X
Clinical Social Worker
35991
TX
Other
Enumeration date
07/03/2006
Last updated
04/15/2010
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