Thealisa Moss, LCSW

NPI #1952170946 in Montclair, New Jersey

Provider Information

NPI Number: 1952170946
Entity Type: Individual
Name: Thealisa Moss, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 1, 2024
Last Updated: Jan 1, 2024

Practice Location

Address: 9 HIGH ST APT W1
City: Montclair
State: New Jersey
ZIP Code: 07042-2450
Phone: (646) 346-4165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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