Individual
DR. KELLY CONROY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LICSW
Contact information
Practice address
8290 165TH AVE NE, REDMOND, WA 98052-3948
(425) 869-2644
Mailing address
4126 117TH AVE NE, KIRKLAND, WA 98033-8744
(425) 576-0181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009424
WA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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