Individual
MRS. JUNE E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.C.S.W., L.C.S.W.
Contact information
Practice address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160-0001
(913) 588-1300
(913) 588-1310
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160-0001
(913) 588-1300
(913) 588-1310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2294
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34012011
BCBS KANSAS CITY
MO
01
—
P00261710
RAILROAD MEDICARE
—
Enumeration date
09/07/2006
Last updated
07/09/2007
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