Individual
KAYLAN BETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 PASSMORE ROAD, WILMINGTON, DE 19803
(302) 478-9411
(302) 479-9883
Mailing address
99 PASSMORE ROAD, WILMINGTON, DE 19803
(302) 478-9411
(302) 479-9883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001163
DE
Other
Enumeration date
02/05/2008
Last updated
09/13/2012
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