Individual
MR. JAMES C. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1101 VETERANS DR, 29-1-LD, LEXINGTON, KY 40502-2235
(859) 281-3949
(859) 281-3952
Mailing address
3505 BIRKENHEAD CT, LEXINGTON, KY 40503-4204
(859) 281-3949
(859) 281-3952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1457
KY
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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