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NPI Code Detail

MEDICARE: ELENA MOSER LCSW

MEDICARE: ELENA MOSER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistLCS12014CA

General Provider Information

NPI Number : 1205234077
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA MOSER LCSW
Provider Business Mailing Address
First Line : 2305 ASHBY AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94705-1909
Country : US
Telephone Number : 510-421-4042
Fax Number :
Provider Business Practice Location Address
First Line : 2305 ASHBY AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94705-1909
Country : US
Telephone Number : 510-421-4042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2014
Last Update Date : 12/10/2014

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Directions to “ ELENA MOSER LCSW” Practice Location

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