Silver Moon LLC
NPI #1104197789 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1104197789
- Entity Type
- Organization
- Organization Name
- Silver Moon LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 13, 2012
- Last Updated
- Feb 16, 2012
Practice Location
- Address
- 9801 FALL CREEK RD
- Address 2
- #124
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46256-4802
- Phone
- (317) 413-0119
Authorized Official
- Name
- ELIZABETH FARR, LCSW
- Title
- PRESIDENT
- Phone
- (317) 413-0119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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