Individual
KELLY C MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4923 LINCOLN WAY STE 102, AMES, IA 50014-3616
(515) 368-7050
(515) 206-9039
Mailing address
4923 LINCOLN WAY STE 102, AMES, IA 50014-3616
(515) 368-7050
(515) 206-9039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008397
IA
Other
Enumeration date
05/16/2016
Last updated
12/04/2025
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