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Contact Information

LISA MOON, LCSW
515 HOLLY STREET
MCGEHEE, AR71654
 Phone: 870-222-4500
 Fax: 870-222-4505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LISA MOON · (Female)

NPI Number 1902077951
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 03/18/2008
Last updated 03/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 1192C
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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