Individual
MS. KYLA M. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5480 WISCONSIN AVE STE 201, CHEVY CHASE, MD 20815-3524
(301) 404-4747
Mailing address
5480 WISCONSIN AVE STE 201, CHEVY CHASE, MD 20815-3524
(301) 404-4747
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19456
MD
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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