Individual
KATIE MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
Mailing address
54 SWAN WAY, TAYLORSVILLE, KY 40071-6629
(502) 295-0309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/06/2012
Last updated
10/12/2016
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