Individual
LEONE M. MCCLINTON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAPS CERTIFICATION
Contact information
Practice address
3826 E 16TH ST N, WICHITA, KS 67208-2036
(316) 312-6366
Mailing address
3826 E 16TH ST N, WICHITA, KS 67208-2036
(316) 312-6366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
KS
Other
Enumeration date
05/14/2008
Last updated
01/06/2011
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