Individual
KARLY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
148 WALDEN ST, CONCORD, MA 01742-3614
(978) 369-7611
Mailing address
23 GIBBENS ST, SOMERVILLE, MA 02143-1504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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