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1689402455
KELLY J MOORE
WICHITA, KS
NPI
1689402455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 06496)
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
Mrs. KELLY J MOORE LSCSW, LAC
1126 S CLIFTON AVE
WICHITA, KS 67218-2913
Phone number: 316-208-5220
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Mailing Address
Mrs. KELLY J MOORE LSCSW, LAC
1126 S. CLIFTON AVE.
WICHITA, KS 67218-2913
Phone number:
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