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Individual

HANNAH MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2250 THUNDERSTICK DR, LEXINGTON, KY 40505-9010
(502) 718-6597
Mailing address
104 JANICE DR, NICHOLASVILLE, KY 40356-1992
(502) 718-6597

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
KY
1041C0700X
Clinical Social Worker
Primary
257490
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100911390
KY
Enumeration date
06/23/2020
Last updated
07/26/2023
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