Individual
PATRICIA GALE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5321 SPRING AVE, KANSAS CITY, MO 64133-2688
(816) 807-5651
Mailing address
5321 SPRING AVE, KANSAS CITY, MO 64133-2688
(816) 807-5651
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3989975315
KS
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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