Individual
GABRIELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
13217 W 107TH TER, LENEXA, KS 66210-3726
(913) 378-3258
Mailing address
13217 W 107TH TER, LENEXA, KS 66210-3726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14035
KS
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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