Individual
CAROL EVERHART MOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 925-1906
(225) 362-5314
Mailing address
5908 STUMBERG LN, APT 19, BATON ROUGE, LA 70816-6370
(225) 933-8273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3389
LA
1041C0700X
Clinical Social Worker
C6554
MS
Other
Enumeration date
10/26/2006
Last updated
03/16/2017
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