Individual
KATHERINE K MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
Mailing address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
11221
CT
Other
Enumeration date
08/30/2012
Last updated
10/22/2020
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