Moon, Antoinette Yvonne
Moon, Antoinette Yvonne is an sole proprietor health care provider with primary practice located at 1712 Terrapin Hills Dr , Bowie MD 20721-2737. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Moon, Antoinette Yvonne can be contacted via phone (301) 499-2002.Contact Information
Primary practice address
1712 Terrapin Hills Dr
Bowie MD 20721-2737
Phone: (301) 499-2002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 12958 | Maryland |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1730387408 |
|---|---|
| LBN Legal business name | Moon, Antoinette Yvonne |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Mar 17th, 2018 - about 6 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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