Moffett, Martia
Moffett, Martia is an sole proprietor health care provider with primary practice located at 62 Old Airport Rd , Hattiesburg MS 39401-8382. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Moffett, Martia can be contacted via phone (601) 544-4550.Contact Information
Primary practice address
62 Old Airport Rd
Hattiesburg MS 39401-8382
Phone: (601) 544-4550
Fax: (601) 582-3373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | C3718 | Mississippi |
Profile Details
| NPI number | 1386154243 |
|---|---|
| LBN Legal business name | Moffett, Martia |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2017 |
| Last updated | Oct 5th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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