| Doctor Name: | MRS. PATRICIA ANN MOORE |
| NPI Number: | 1700168424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | KY-3371 |
| Business Practice Address: | 75 Orphanage Rd Ft Mitchell, KY - 410173006 |
| Business Phone Number: | 8593312040 |
| Business Fax Number: | 8593445022 |
| Mailing Address: | 75 Orphanage Rd, FT MITCHELL |
| State: | KY |
| Postal Code: | 410173006 |
| Phone Number: | 8593312040 |
| Fax Number: | 8593445022 |
| NPI Enumeration Date: | 09/20/2011 |
| NPI Last Update Date: | 09/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | KY-3371 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |