Melissa I. Moose LC SW
Clinical Social Worker in Shelby, NC(View on Map)
Full Name
Melissa I Moose LC SW
NPI Number
1245276385
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/20/2006
Specialties
(Taxonomies)Licenses
State
North Carolina
License Number
C004426
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 4003
917 1ST ST
City
Gastonia
Shelby
State
NC
NC
Postal Code
28054-0020
28150-3958
Country
US
US
Telephone Number
(704) 865-3525
(704) 476-4028
Identifiers
Identifier
6106324
14219
188636
Identifier State
NC
NC
NC
Identifier Issuer
Unknown
BCBS
MEDCOST
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007