Individual
KATHRYN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
205 CAPITOL ST STE 500, CHARLESTON, WV 25301-2229
(304) 444-6090
Mailing address
205 CAPITOL ST STE 500, CHARLESTON, WV 25301-2229
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00945565
WV
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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