Individual
JULIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 563-6500
Mailing address
12130 W 136TH ST, APT. 334, OVERLAND PARK, KS 66221-7401
(405) 408-9813
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7681
KS
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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