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Individual

KRISTY LYNN MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
32 DALLAS STEPHENS RD, SANDY HOOK, KY 41171-8275
(606) 738-4579
(606) 738-4579
Mailing address
32 DALLAS STEPHENS RD, SANDY HOOK, KY 41171-8275
(606) 738-4579
(606) 738-4579

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5021
KY

Other

Enumeration date
09/30/2015
Last updated
09/25/2019
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