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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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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