Organization
KELLY R. MOORE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY R. MOORE MSW, LSCSW (THERAPIST)
(913) 963-7751
Entity
Organization
Contact information
Practice address
8826 SANTA FE DR, SUITE 210, OVERLAND PARK, KS 66212-3655
(913) 963-7751
Mailing address
10360 S HOLLIS LN, OLATHE, KS 66061-7435
(913) 963-7751
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4470
KS
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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