Most Relevant Information
Provider Data
| NPI Number: | 1003659491 |
| Provider Name: | ELIZABETH MARIE MOSS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 10160 |
Most Important Dates
| Enumeration Date: | 06/14/2024 |
| Last Updated: | 06/20/2024 |
Provider Practice Location
9851 JEFFERSON HWY # H36
BATON ROUGE
LA
708092785
Practice Location Phone/Fax
| Phone: | 2255717157 |
| Fax: |
Provider Mailing Location
9851 JEFFERSON HWY # H36
BATON ROUGE
LA
708092785
Provider Mailing Phone/Fax
| Phone: | 2255717157 |
| Fax: |