Individual
ATIYA KAI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5 CEDARBURG CT APT B, PARKVILLE, MD 21234-1951
(667) 770-4822
Mailing address
5 CEDARBURG CT APT B, PARKVILLE, MD 21234-1951
(667) 770-4822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23501
MD
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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