Most Relevant Information
Provider Data
| NPI Number: | 1003471855 |
| Provider Name: | AI LING MOORE MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2007027737 |
Most Important Dates
| Enumeration Date: | 05/07/2019 |
| Last Updated: | 05/07/2019 |
Provider Practice Location
330 N GORE AVE
WEBSTER GROVES
MO
631191600
Practice Location Phone/Fax
| Phone: | 3149782060 |
| Fax: |
Provider Mailing Location
330 N GORE AVE
WEBSTER GROVES
MO
631191600
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |