| Maya Rene Moore, LICSW | |
|
1710 Allen St, Kelso, WA 98626-4907 | |
| (360) 261-7020 | |
| Not Available |
| Full Name | Maya Rene Moore |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1710 Allen St, Kelso, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881264406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW61368575 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Maya Rene Moore, LICSW Po Box 34703, Seattle, WA 98124-1703 Ph: (206) 764-0502 | Maya Rene Moore, LICSW 1710 Allen St, Kelso, WA 98626-4907 Ph: (360) 261-7020 |
Mr. Stephen Maynard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1710 Allen St, Kelso, WA 98626 Phone: 360-261-7020 | |
Katlynn Feagans, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-423-0203 Fax: 360-423-5086 | |
Timothy Tivey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2381 Osprey Ln, Kelso, WA 98626 Phone: 360-636-4606 | |
April Ruth Constance Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-423-0203 Fax: 360-577-0187 | |
Marguerite Nonnie Weaver, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 208 Church St, Kelso, WA 98626 Phone: 360-425-1322 |