Individual
KERRY-ANN YOLANDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-1412
(804) 675-5000
Mailing address
1800 AIRPARK DR, MYRTLE BEACH, SC 29577-1412
(843) 941-2176
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14572
SC
Other
Enumeration date
11/15/2013
Last updated
06/12/2024
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