Individual
ADRIS MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
101 S JENNINGS AVE STE 203, FORT WORTH, TX 76104-1118
(318) 238-3197
(318) 238-3199
Mailing address
PO BOX 414, HASLET, TX 76052-0414
(682) 250-0988
(682) 318-1161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12707
LA
1041C0700X
Clinical Social Worker
Primary
50606
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721442261
—
LA
Enumeration date
03/30/2016
Last updated
01/31/2025
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