Kimberly Ann Moore
Social Worker, Clinical in Providence, RI. Individual provider (NPI-1).
NPI number1679051981
StatusActive
Last updated in NPPESJul 31, 2018
Details
- NPI
- 1679051981
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Ann Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2018
- Last updated
- Jul 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW02174 | RI | Yes |
Practice location
1 Richmond Sq Ste 333Providence, RI 02906-5139
Phone 401-227-0372
Mailing address
88 Third StWest Warwick, RI 02893-2706
Phone 401-524-6518
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