Kimberly Michelle Moore MSW, LCSW

NPI 1710119813 - Social Worker - 1041C0700X

NPI Details
NPI 1710119813
Gender Female
Enumeration Date 08/22/2009
Last Updated 08/17/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
301 MCCULLOUGH DR
CHARLOTTE NC, 28262-3310, US
Phone (704) 890-6855
Fax
Business Location
PO BOX 42037
CHARLOTTE NC, 28215-0001, US
Phone (704) 890-6855
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number C006901
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According to our database, Kimberly Michelle Moore MSW, LCSW NPI is 1710119813, taxonomy code is 1041C0700X and license number is C006901, license state is located at North Carolina. Kimberly Michelle Moore MSW, LCSW physically located at 301 Mccullough Dr, Charlotte NC, 28262-3310. NPI Number Kimberly Michelle Moore MSW, LCSW has the Individual type.

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1710119813 NPI number is provided on an as is basis without warranty of any kind. 1710119813 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Michelle Moore MSW, LCSW are for informational purposes only.