Individual
ALIDA L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 LYNCH ST, SAINT LOUIS, MO 63118-1818
(314) 535-5600
Mailing address
PO BOX 844715, KANSAS CITY, MO 64184-4715
(417) 761-5214
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023047997
MO
Other
Enumeration date
12/14/2023
Last updated
04/16/2026
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