Individual
BEVERLY J MOSS-OSWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
208 LAKEMONT PARK BOULEVARD, HNA EARLY INTERVENTION, ALTOONA, PA 16602
(814) 944-8177
(814) 944-7413
Mailing address
RR 4 BOX 636, ALTOONA, PA 16601-9685
(814) 942-6245
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001866771003
—
PA
Enumeration date
11/30/2006
Last updated
07/08/2007
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