Organization
JULIA MOEN, LLC
Active
Organization
JULIA MOEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA KIMBERLY MOEN MSW, LICSW (OWNER)
(651) 420-1540
Entity
Organization
Contact information
Practice address
821 RAYMOND AVE, SUITE 440, SAINT PAUL, MN 55114-1503
(651) 642-9317
(651) 642-1908
Mailing address
491 MONTROSE LN, SAINT PAUL, MN 55116-1134
(651) 642-9317
(651) 642-1908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9248
MN
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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