Individual
TED MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-2800
(520) 874-6863
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500
(520) 874-7048
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-3521
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
838039
—
AZ
Enumeration date
10/05/2006
Last updated
01/14/2008
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