Kelly L. Moore BSW

NPI 1174652762 - Counselor - 101YM0800X

NPI Details
NPI 1174652762
Gender Female
Enumeration Date 03/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
531 16TH ST
SAN DIEGO CA, 92101-7609, US
Phone (619) 233-3432
Fax (619) 233-7022
Business Location
531 16TH ST
SAN DIEGO CA, 92101-7609, US
Phone (619) 233-3432
Fax (619) 233-7022
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Ms. Kelly L. Moore BSW NPI is 1174652762, taxonomy code is 101YM0800X Kelly L. Moore BSW physically located at 531 16th St, San Diego CA, 92101-7609. NPI Number Kelly L. Moore BSW has the Individual type.

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1174652762 NPI number is provided on an as is basis without warranty of any kind. 1174652762 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly L. Moore BSW are for informational purposes only.