Kenisha Nicole Moore
Kenisha Nicole Moore is a Clinical Social Worker in Fairfax, Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
8221 Willow Oaks Corporate DrFairfax, VA 22031-4512
Phone: (703) 599-3000
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 0 |
|---|
Record details
| NPI number | 1376140970 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 6, 2020 |
| Last updated in NPPES | January 25, 2024 |
| Certification date | January 25, 2024 |
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