Individual
AMY JEAN MOSHER-GARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW, CSAC,ICS
Contact information
Practice address
6502 GRAND TETON PLZ, SUITE 102, MADISON, WI 53719-1047
(608) 827-7220
(608) 827-7223
Mailing address
6502 GRAND TETON PLZ, SUITE 102, MADISON, WI 53719-1047
(608) 827-7220
(608) 827-7223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6592
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39759900
—
WI
Enumeration date
12/06/2006
Last updated
08/27/2014
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