Andrea Moss, LCSW

NPI #1174191241 in Champaign, Illinois

Provider Information

NPI Number: 1174191241
Entity Type: Individual
Name: Andrea Moss, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jun 15, 2021
Last Updated: Jun 15, 2021

Practice Location

Address: 1802 S MATTIS AVE
City: Champaign
State: Illinois
ZIP Code: 61821-5923
Phone: (217) 383-1850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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