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Organization
MOONRISE CLINICAL SERVICES
Active
Organization
MOONRISE CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONA MOON LICSW, LCSW-C, LCSW (PROPRIETOR)
(240) 461-8956
Entity
Organization
Contact information
Practice address
15037 CHERRYWOOD DR, LAUREL, MD 20707-5547
(301) 781-3361
Mailing address
15037 CHERRYWOOD DR, LAUREL, MD 20707-5547
(240) 461-8956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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