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Organization
SILVER MOON LLC
Active
Organization
SILVER MOON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH FARR LCSW (PRESIDENT)
(317) 413-0119
Entity
Organization
Contact information
Practice address
9801 FALL CREEK RD, #124, INDIANAPOLIS, IN 46256-4802
(317) 413-0119
Mailing address
9801 FALL CREEK RD, #124, INDIANAPOLIS, IN 46256-4802
(317) 413-0119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006405A
IN
Other
Enumeration date
01/13/2012
Last updated
02/16/2012
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