Individual
MRS. DANYEL LACHEON MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
1329 2ND ST, COVINGTON, IN 47932-1009
(765) 231-3183
Mailing address
13059 N COUNTY ROAD 200 W, BRAZIL, IN 47834-6875
(812) 605-2911
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10320048
IN
Other
Enumeration date
08/20/2024
Last updated
08/22/2024
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