Individual
MRS. CATHY MARGARET MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
Mailing address
3317 GONDOLA DR, LEXINGTON, KY 40513-1006
(859) 559-2087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6827
KY
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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