Individual
TERA RANAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 S TERRACE DR, WICHITA, KS 67218-3124
(316) 491-9274
Mailing address
1120 S TERRACE DR, WICHITA, KS 67218-3124
(316) 491-9274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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