Individual
DEBRA MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
200 W ROSS BLVD, DODGE CITY, KS 67801-7221
(620) 371-7300
(620) 371-7304
Mailing address
200 W ROSS BLVD, DODGE CITY, KS 67801-7221
(620) 371-7300
(620) 371-7304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1828
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200366440A
—
KS
Enumeration date
04/25/2006
Last updated
03/01/2010
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