Individual
KRISTIN LAURA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4470
(256) 265-2762
Mailing address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4470
(256) 265-2762
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2140G
AL
1041C0700X
Clinical Social Worker
44SC05327200
NJ
1041C0700X
Clinical Social Worker
Primary
SW13625
FL
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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