Individual
KATHERINE E MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1275 SHILOH RD NW STE 3030, KENNESAW, GA 30144-7186
(253) 376-6768
Mailing address
3437 TIMBER LAKE CT NW, KENNESAW, GA 30144-5903
(253) 376-6768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009898
GA
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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