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Individual

MRS. ABBIGAIL LYNN MOOG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
4000 CAMBRIDGE ST MS 3007, KANSAS CITY, KS 66160-0001
(913) 588-0677
(913) 588-0677
Mailing address
303 S STONECREST RD, OLATHE, KS 66061-7567
(913) 428-6008

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4733
KS

Other

Enumeration date
01/18/2018
Last updated
01/18/2018
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