Individual
MRS. CRISTA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4760
Mailing address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014022108
MO
Other
Enumeration date
05/01/2014
Last updated
12/02/2014
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