Serena Kathryn Moore, LMSW

NPI #1851729099 in Garden City, Idaho

Provider Information

NPI Number: 1851729099
Entity Type: Individual
Name: Serena Kathryn Moore, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Oct 25, 2013
Last Updated: Oct 25, 2013

Practice Location

Address: 5583 N GLENWOOD ST
City: Garden City
State: Idaho
ZIP Code: 83714-1336
Phone: (208) 287-2564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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