Kaily Marie Moore

NPI #1801412028 in Princeton, Texas

Provider Information

NPI Number: 1801412028
Entity Type: Individual
Name: Kaily Marie Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 23, 2020
Last Updated: Jun 23, 2020

Practice Location

Address: 1507 WILDERNESS ST
City: Princeton
State: Texas
ZIP Code: 75407-0675
Phone: (214) 500-5698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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