Individual
GRACE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-LMSW
Contact information
Practice address
25055 W VALLEY PKWY, OLATHE, KS 66061-8430
(563) 265-4010
Mailing address
10531 W 113TH ST APT 4402, OVERLAND PARK, KS 66210-2288
(563) 265-4010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13210-T
KS
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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