Nicolette Staton Moon LCSW

NPI 1346384658 - Social Worker - 1041C0700X

NPI Details
NPI 1346384658
Gender Female
Enumeration Date 02/19/2007
Last Updated 09/26/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
10299 WOODMAN RD
GLEN ALLEN VA, 23060-4419, US
Phone (804) 727-8500
Fax (804) 727-8580
Business Location
10299 WOODMAN RD
GLEN ALLEN VA, 23060-4419, US
Phone (804) 727-8500
Fax (804) 727-8580
Toxanomy
Taxonomy Code 1041C0700X
License State Virginia
License Number 0904003308
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According to our database, Nicolette Staton Moon LCSW NPI is 1346384658, taxonomy code is 1041C0700X and license number is 0904003308, license state is located at Virginia. Nicolette Staton Moon LCSW physically located at 10299 Woodman Rd, Glen Allen VA, 23060-4419. NPI Number Nicolette Staton Moon LCSW has the Individual type.

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1346384658 NPI number is provided on an as is basis without warranty of any kind. 1346384658 is maintained by the National Plan & Provider Enumeration System. The contents of Nicolette Staton Moon LCSW are for informational purposes only.