Donna Marie Moulton, LMSW

NPI #1093119679 in La Fayette, Georgia

Provider Information

NPI Number: 1093119679
Entity Type: Individual
Name: Donna Marie Moulton, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Oct 10, 2014
Last Updated: Oct 19, 2015

Practice Location

Address: 501 MIZE ST
City: La Fayette
State: Georgia
ZIP Code: 30728-3346
Phone: (706) 639-5634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Case Manager/Care Coordinator	171M00000X

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