Individual
KATHLEEN MOSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1122 N LEBANON ST, KATHLEEN MOSSMAN, LCSW:C/O MENTAL HEALTH AMERICA-BOONE, LEBANON, IN 46052-1759
(765) 894-2620
(765) 482-0288
Mailing address
2655 ELIZAVILLE RD, LEBANON, IN 46052-1282
(765) 894-2620
(765) 482-0288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
34003662A
IN
104100000X
Social Worker
34003662A
IN
1041C0700X
Clinical Social Worker
Primary
34003662A
IN
Other
Enumeration date
08/19/2006
Last updated
04/04/2012
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