Individual
DONNA LYNN MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 758-8616
Mailing address
1838 BROWER PL, SYCAMORE, IL 60178-3029
(815) 899-0682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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