Individual
AMY J MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2425 CHICAGO AVENUE SOUTH, CHILDRENS PRIMARY CLINIC TAMS, MINNEAPOLIS, MN 55404
(612) 813-6125
(612) 872-2338
Mailing address
2910 CENTRE POINTE DRIVE, 35 121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00911
MN
1041C0700X
Clinical Social Worker
00911
MN
Other
Enumeration date
09/30/2006
Last updated
09/11/2025
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