DR. Kelly Conroy Moore, PHD, LICSW
NPI #1134322589 in Redmond, Washington
Provider Information
- NPI Number
- 1134322589
- Entity Type
- Individual
- Name
- DR. Kelly Conroy Moore, PHD, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- PHD, LICSW
- Enumeration Date
- Jun 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8290 165TH AVE NE
- City
- Redmond
- State
- Washington
- ZIP Code
- 98052-3948
- Phone
- (425) 869-2644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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