Individual
MS. NANCY L MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
719 MASSCHT ST # 104, LAWRENCE, KS 66044-2345
(785) 979-9581
(785) 856-6006
Mailing address
719 MASSCHT ST # 104, LAWRENCE, KS 66044-2345
(785) 979-9581
(785) 856-6006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
564
KS
1041C0700X
Clinical Social Worker
Primary
4211
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200537790C
—
KS
Enumeration date
12/07/2007
Last updated
05/21/2020
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