Judith Moon in Davisburg - Clinical

Judith Moon - NPI 1346355005

Judith Moon is a Clinical in Davisburg, Michigan. Judith Moon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith Moon is 1346355005. The last update date is 2007-07-08.

Judith Moon's current location address is 12850 Fountain Sq, Davisburg, Michigan. You can contact this provider via phone number 2486346303 and fax number 2486341746. The mailing address for Judith Moon is 12850 Fountain Sq, Davisburg, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith Moon
Address 12850 Fountain Sq, Davisburg, Michigan
Phone Number 2486346303
Fax Number 2486341746
Sole Proprietor Y
Credentials LLMSW

NPI Number Detail

NPI Number 1346355005
Provider Enumeration Date 2006-08-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12850 Fountain Sq
City Davisburg
State Michigan (MI)
Post Code 483502552
Phone Number 2486346303
Fax Number 2486341746

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801012987
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Judith Moon

What is the unique identifier code issued to Judith Moon by the Centers for Medicare & Medicaid Services?

The Judith Moon has been assigned the NPI (National Provider Identifier) 1346355005. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Judith Moon is physically located?

The Judith Moon is situated at the following address: 12850 Fountain Sq, Davisburg, MI 483502552.

On what date did the Judith Moon receive the assignment of its 1346355005 from the Centers for Medicare & Medicaid Services?

The Judith Moon was issued its 1346355005 by the Centers for Medicare & Medicaid Services on 2006-08-20.

When was the information regarding Judith Moon most recently updated?

The details pertaining to the Judith Moon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

As of what date was the information pertaining to Judith Moon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Judith Moon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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