Individual
KIMBERLY ELISE MOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 SALINE ST APT 3, PITTSBURGH, PA 15207-1024
(630) 430-6488
Mailing address
308 SALINE ST APT 3, PITTSBURGH, PA 15207-1024
(630) 430-6488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138685
PA
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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