Individual
EMILY MOOSHEGIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
9 JUNCTION DR W, SUITE 3, GLEN CARBON, IL 62034-2931
(618) 710-4123
Mailing address
9 JUNCTION DR W, SUITE 3, GLEN CARBON, IL 62034-2931
(618) 710-4123
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
149018665
IL
101Y00000X
Counselor
2011024677
MO
Other
Enumeration date
07/27/2016
Last updated
04/05/2017
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