Individual
MS. LAURA J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3608 FARAON ST, SAINT JOSEPH, MO 64506-3044
(816) 232-4417
(816) 671-0961
Mailing address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 232-6818
(816) 671-0961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010042642
MO
Other
Enumeration date
02/10/2011
Last updated
11/10/2021
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