KENISHA NICOLE MOORE

FAIRFAX, VA
NPI1376140970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence:   0)
Enumeration Date2020-10-06
Last Update Date2024-01-25
Business Address
KENISHA NICOLE MOORE
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4512
Phone number: 703-599-3000
Mailing Address
KENISHA NICOLE MOORE
5967 PARSONS LN
KING GEORGE, VA 22485-2434
Phone number: 540-413-6247