Individual
KAWONDER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BBA, MS
Contact information
Practice address
915 HIGHWAY 84 W, CARUTHERSVILLE, MO 63830-8113
(573) 888-5925
Mailing address
915 HIGHWAY 84 W, CARUTHERSVILLE, MO 63830-8113
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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