Individual
MRS. KIMBERLY MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
703 PRO-MED LN, CARMEL, IN 46032-5317
(317) 843-9922
(317) 581-3918
Mailing address
703 PRO-MED LN, CARMEL, IN 46032-5317
(317) 843-9922
(317) 581-3918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004509A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100381890
—
IN
Enumeration date
12/07/2005
Last updated
01/17/2014
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