Individual
KEVIN PERRY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1640 POWERS FERRY RD SE STE 300, MARIETTA, GA 30067-5491
(678) 764-6047
Mailing address
1640 POWERS FERRY RD SE, BLG 7, STE 300, MARIETTA, GA 30067-5491
(678) 764-6047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW007027
GA
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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