Doctor Name: | MRS. PAULA F MOSER |
NPI Number: | 1003029042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | SW3423 |
Business Practice Address: | 343 E Duval St Suite 101 Lake City, FL - 32055 |
Business Phone Number: | 3867527116 |
Business Fax Number: | 3867527188 |
Mailing Address: | 343 E Duval St, Suite 101 LAKE CITY |
State: | FL |
Postal Code: | 32055 |
Phone Number: | 3867527116 |
Fax Number: | 3867527188 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW3423 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |