Individual
JACLYN GENE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
80 CODELL DR STE 130, LEXINGTON, KY 40509-1177
(859) 309-2877
Mailing address
324 QUEENSWAY DR, LEXINGTON, KY 40502-1007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259191
KY
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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