Kevin Moore MSW

NPI 1154452910 - Social Worker - 1041C0700X

NPI Details
NPI 1154452910
Gender Male
Enumeration Date 03/07/2007
Last Updated 03/18/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
850 N HARRISON ST
C/O ANNE LAWSON - CREDENTIALING
WARSAW IN, 46580-3163, US
Phone (574) 267-7169
Fax (574) 269-3995
Business Location
850 N HARRISON ST
C/O ANNE LAWSON - CREDENTIALING
WARSAW IN, 46580-3163, US
Phone (574) 267-7169
Fax (574) 269-3995
Toxanomy
Taxonomy Code 1041C0700X
License State Indiana
License Number 34005489A
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According to our database, Mr. Kevin Moore MSW NPI is 1154452910, taxonomy code is 1041C0700X and license number is 34005489A, license state is located at Indiana. Kevin Moore MSW physically located at 850 N Harrison St, Warsaw IN, 46580-3163. NPI Number Kevin Moore MSW has the Individual type.

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1154452910 NPI number is provided on an as is basis without warranty of any kind. 1154452910 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Moore MSW are for informational purposes only.