Individual
MRS. EDNA SUE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCW ACSW PIP
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55309, BIRMINGHAM, AL 35255-5309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1010C
AL
1041C0700X
Clinical Social Worker
1010C NASW
AL
1041C0700X
Clinical Social Worker
PIP 0265 1010 C
AL
Other
Enumeration date
05/08/2007
Last updated
08/28/2007
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