Individual
MS. LAURA ANN MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(000) 000-0000
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009922344
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09927394
CO
Other
Enumeration date
05/11/2020
Last updated
08/18/2022
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