Individual
ROBERT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
900 BEASLEY ST, SUITE 120, LEXINGTON, KY 40509-4266
(859) 333-3224
Mailing address
3416 CORNWALL DR, LEXINGTON, KY 40503-4105
(859) 278-1232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-3192
KY
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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