Individual
MRS. KRISTIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2140 UPPER WETUMPKA RD, MONTGOMERY, AL 36107-1342
(334) 279-7830
Mailing address
67 BROOKFIELD DR, ELMORE, AL 36025-1243
(334) 462-8817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3717C
AL
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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