Individual
ELIZABETH MOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14433 WASHINGTON HWY, ASHLAND, VA 23005-7240
(804) 798-4587
Mailing address
14433 WASHINGTON HWY, ASHLAND, VA 23005-7240
(804) 798-4587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013032
VA
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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