Individual
AMBRIA S MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 BRECKENRIDGE LN STE 125, LOUISVILLE, KY 40218-4135
(502) 777-3516
Mailing address
5603 BANNON CROSSING DRIVE, LOUISVILLE, KY 40228
(502) 724-4124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256841
KY
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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