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Individual

KELLY CHAPIN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10515 W MARKHAM ST, STE. I-6, LITTLE ROCK, AR 72205-2297
(501) 458-4333
Mailing address
10515 W MARKHAM ST, STE. I-6, LITTLE ROCK, AR 72205-2297
(501) 458-4333

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2566-C
AR

Other

Enumeration date
06/10/2012
Last updated
06/10/2012
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