-- SERENA KATHRYN MOORE -- LMSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1851729099- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMSW
- Status
- Active
Contact & Location
- Address
- 5583 N GLENWOOD ST, GARDEN CITY, ID, 837141336
- Phone
- (208) 287-2564
- Fax
- (208) 287-2570
Specialties & Taxonomies
Social Worker, Clinical
Primary License: ID #LMSW-33263