Individual
KARLA RENE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
Mailing address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1061
WY
Other
Enumeration date
07/20/2018
Last updated
01/28/2025
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