Individual
KAREN LOLETA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
508 GREENE ST, GREENSBORO, AL 36744-2318
(334) 624-3024
Mailing address
1605 9TH ST N, TUSCALOOSA, AL 35406-2029
(205) 393-9796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4532C
AL
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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