Individual
CATHERINE BERRY MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
317 W HILL ST STE 101, DECATUR, GA 30030-4368
(478) 747-3559
Mailing address
204 LOCUST ST NE, ATLANTA, GA 30317-1013
(478) 747-3559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW006498
GA
1041C0700X
Clinical Social Worker
Primary
CSW006203
GA
Other
Enumeration date
12/06/2016
Last updated
08/29/2024
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