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1558401836
KELLY N MOORE
LEXINGTON, KY
NPI
1558401836
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Former Name
KELLY N PORTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 3530)
Enumeration Date
2007-02-07
Last Update Date
2015-09-10
Business Address
-- KELLY N MOORE MSSW, LCSW
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504-1795
Phone number: 859-259-2635
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Mailing Address
-- KELLY N MOORE MSSW, LCSW
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504-1795
Phone number: 859-259-2635
Copy
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