Individual
ENDIA BIANCA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW TCADC
Contact information
Practice address
1800 W MUHAMMAD ALI BLVD STE 2C, LOUISVILLE, KY 40203-1560
(502) 384-5149
Mailing address
1800 W MUHAMMAD ALI BLVD STE 2C, LOUISVILLE, KY 40203-1560
(502) 384-5149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259589
KY
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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