Stacy Moore-Nolan, LCSW

NPI #1649260522 in Jasper, Indiana

Provider Information

NPI Number
1649260522
Entity Type
Individual
Name
Stacy Moore-Nolan, LCSW
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 24, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
480 EVERSMAN DR
City
Jasper
State
Indiana
ZIP Code
47546-3548
Phone
(812) 482-3020

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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