Individual
KAYLA MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1911 MISSION 66 STE B, VICKSBURG, MS 39180-3762
(601) 665-4162
(855) 830-3484
Mailing address
557 GRANTS FERRY RD, BRANDON, MS 39047-9023
(601) 665-4162
(855) 830-3484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8626
MS
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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