Organization
SPRING OF RENEWAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA D MOSES LCSW (SOCIAL WORKER)
(501) 463-1327
Entity
Organization
Contact information
Practice address
6801 ISAACS ORCHARD RD, SPRINGDALE, AR 72762-6545
(501) 463-1327
(501) 242-4016
Mailing address
2401 N CARL ST, SILOAM SPRINGS, AR 72761-2127
(501) 463-1327
(501) 242-4016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
08/14/2024
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