Individual
MS. ERIKA MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
363 MAIN ST, # 513, MIDDLETOWN, CT 06457-3359
(203) 756-8317
(203) 756-8310
Mailing address
39 WALL ST, MIDDLETOWN, CT 06457-4705
(203) 558-2381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7719
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004068284
—
CT
Enumeration date
10/15/2008
Last updated
09/30/2016
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