Individual
SHONDA L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 689-4850
Mailing address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 689-4850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3781
KS
Other
Enumeration date
03/10/2006
Last updated
06/23/2025
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