Individual
MS. KIMBERLY MARIE MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
111 E MONUMENT AVE, SUITE 401 OFFICE 2, KISSIMMEE, FL 34741-5762
(407) 930-4711
(866) 255-1576
Mailing address
111 E MONUMENT AVE, SUITE 401 OFFICE 2, KISSIMMEE, FL 34741-5762
(407) 930-4711
(866) 255-1576
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PSW964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
922013Z
WELLCARE
FL
01
—
EAHCA020Z
AHCA
FL
01
—
EAHCA790Z
MANAGED CARE HEALTH
FL
05
—
FL922013Z
—
FL
Enumeration date
07/27/2015
Last updated
07/27/2015
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