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1689021164
KELLY C MOORE
AMES, IA
NPI
1689021164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 008397)
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
-- KELLY C MOORE LISW
600 5TH ST #20
AMES, IA 50010-6085
Phone number: 515-231-8484
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Mailing Address
-- KELLY C MOORE LISW
600 5TH ST #20
AMES, IA 50010-6085
Phone number: 515-231-8484
Copy
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