Individual
BOBBI L MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
19 E MOUNTAIN ST STE 33, FAYETTEVILLE, AR 72701-6067
(479) 530-6678
Mailing address
19 E MOUNTAIN ST STE 33, FAYETTEVILLE, AR 72701-6067
(479) 530-6678
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8942-M
AR
1041C0700X
Clinical Social Worker
Primary
8942-C
AR
Other
Enumeration date
07/27/2018
Last updated
08/05/2024
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