Individual
KATRINA ROSE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3324 MILWAUKEE ST, MADISON, WI 53714-1866
(608) 843-4604
Mailing address
17 HARDING ST, MADISON, WI 53714-2218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
131530121
WI
Other
Enumeration date
06/18/2019
Last updated
12/12/2025
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