RICHARD MOORE

WICHITA, KS
NPI1619920790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  010590)
Enumeration Date2006-05-18
Last Update Date2007-07-08
Business Address
-- RICHARD MOORE
940 N WACO AVE
WICHITA, KS 67203-3947
Phone number: 316-660-7550
Mailing Address
-- RICHARD MOORE
635 N MAIN ST
WICHITA, KS 67203-3602
Phone number: 316-660-7600
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