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Individual

EVELYN MOSES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
5700 FLORIDA BLVD, BATON ROUGE, LA 70806-4274
(225) 341-3551
(225) 923-8227
Mailing address
5700 FLORIDA BLVD, BATON ROUGE, LA 70806-4274
(225) 341-3551
(225) 923-8227

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1861859175
MEDICARE NPI
LA
Enumeration date
03/18/2016
Last updated
04/05/2016
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