Individual
DORI E. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
8340 MISSION RD, SUITE 210, PRAIRIE VILLAGE, KS 66206-1355
(913) 642-0100
(913) 642-0176
Mailing address
8340 MISSION RD, SUITE 210, PRAIRIE VILLAGE, KS 66206-1355
(913) 642-0100
(913) 642-0176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
001918
MO
1041C0700X
Clinical Social Worker
Primary
0512
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16782017
BLUE SHIELD OF KC
MO
01
—
625078
BLUE SHIELD OF KANSAS
KS
Enumeration date
07/27/2006
Last updated
07/08/2007
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