Individual
MS. STEPHANIE LYN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
826 1/2 MASSACHUSETTS ST, LAWRENCE, KS 66044-2658
(785) 979-7937
Mailing address
830 BEACON PKWY E APT D, BIRMINGHAM, AL 35209-3254
(205) 821-7052
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12823
KS
104100000X
Social Worker
5940G
AL
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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