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Individual

LISA AUSTIN MOSES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
429 GAMMON PL STE 200, MADISON, WI 53719-1053
(608) 824-7243
Mailing address
7125 BIRCHSTONE DR, MADISON, WI 53719-5232
(608) 712-0790

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10137-123
WI

Other

Enumeration date
08/18/2025
Last updated
08/18/2025
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