Individual
LISA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3999 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4929
(270) 886-2205
(270) 886-0392
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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