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Individual

MICHAEL ROBERT MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1911 E 23RD ST, KANSAS CITY, MO 64127-3701
(816) 419-3904
Mailing address
19706 W 63RD TER, SHAWNEE, KS 66218-9336
(816) 419-3904

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CS001007
MO

Other

Enumeration date
08/15/2006
Last updated
07/09/2007
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