Individual
GINA D MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
255 W MAIN ST, SAINT CLAIRSVILLE, OH 43950-1040
(740) 695-9447
(740) 695-8895
Mailing address
PO BOX 118, SAINT CLAIRSVILLE, OH 43950-0118
(740) 695-9447
(740) 695-8895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
S.2207988
OH
104100000X
Social Worker
Primary
S.2207988
OH
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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