Individual
MS. CARLY LYNN MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 HILYARD ST, SUITE 540, EUGENE, OR 97401-8122
(458) 205-7101
Mailing address
1200 HILYARD ST, SUITE 540, EUGENE, OR 97401-8122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5867
OR
Other
Enumeration date
11/28/2006
Last updated
07/02/2014
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