Individual
SHAUN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
400 SW OAKLEY AVE, TOPEKA, KS 66606-2039
(785) 233-1730
(785) 354-1068
Mailing address
5401 SW 7TH ST, TOPEKA, KS 66606-2330
(785) 273-2252
(785) 273-7489
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8772
KS
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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