Individual
CORA SPRING MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
261 W JOHNSTOWN RD STE 107, GAHANNA, OH 43230-2887
(614) 383-9939
Mailing address
261 W JOHNSTOWN RD STE 107, GAHANNA, OH 43230-2887
(614) 383-9939
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S-2349408
OH
1041C0700X
Clinical Social Worker
Primary
I.2506920
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/10/2023
Last updated
04/29/2026
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