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Individual

KALILA REBECCA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
645 PENNSYLVANIA AVE SE STE 102, WASHINGTON, DC 20003-4379
(202) 745-7000
Mailing address
645 PENNSYLVANIA AVE SE STE 102, WASHINGTON, DC 20003-4379
(202) 745-7000

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
DC

Other

Enumeration date
04/20/2020
Last updated
04/20/2020
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