Individual
MS. KELLY R. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
11261 STRANG LINE RD, LENEXA, KS 66215-4040
(913) 353-6021
Mailing address
13217 W 107TH TER, LENEXA, KS 66210-3726
(913) 963-7751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4470
KS
Other
Enumeration date
06/06/2013
Last updated
11/14/2023
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