Individual
KEYANA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
726 CESSNA RD, CONCORD, NC 28027-7532
(980) 219-3318
Mailing address
726 CESSNA RD, CONCORD, NC 28027-7532
(980) 219-3318
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
P021696
NC
Other
Enumeration date
05/10/2019
Last updated
01/13/2025
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