Individual
AMANDA MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8483 FISHERS CENTER DR, FISHERS, IN 46038-2318
(417) 425-9135
Mailing address
2750 E 75 N, LEBANON, IN 46052-8122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006268A
IN
Other
Enumeration date
04/14/2018
Last updated
11/06/2025
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