Moon, Lisa J
Moon, Lisa J is an individual health care provider with primary practice located at 21 Montauk Ave , New London CT 06320-4906. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moon, Lisa J can be contacted via phone (860) 271-4715.Contact Information
Primary practice address
21 Montauk Ave
New London CT 06320-4906
Phone: (860) 271-4715
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8680 | Connecticut |
Profile Details
| NPI number | 1427112390 |
|---|---|
| LBN Legal business name | Moon, Lisa J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Nov 8th, 2021 - about 3 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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