Individual
MRS. KATHLEEN D MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
33507 9TH AVE S, SUITE C-2, FEDERAL WAY, WA 98003-6397
(253) 218-9406
Mailing address
33507 9TH AVE S, SUITE C-2, FEDERAL WAY, WA 98003-6397
(253) 218-9406
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60231764
WA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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