Individual
KRISTEN GLEASON-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCLS
Contact information
Practice address
12 CHALFANT LN UNIT B, MORGANTOWN, WV 26505-5278
(704) 698-5391
Mailing address
12 CHALFANT LN UNIT B, MORGANTOWN, WV 26505-5278
(704) 698-5391
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
12/10/2024
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