Individual
LATOYA MOMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6017
Mailing address
7617 ELM GROVE CIR, NEW HOPE, MN 55428-3879
(601) 454-5788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11788
LA
1041C0700X
Clinical Social Worker
Primary
31819
MN
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/17/2021
Last updated
08/15/2025
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