MADONNA ANN MOSS

LAKE CITY, FL
NPI1144489808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  ISW4606)
Enumeration Date2008-06-06
Last Update Date2008-06-06
Business Address
-- MADONNA ANN MOSS MSW
1435 US HWY 90 W
LAKE CITY, FL 32025
Phone number: 386-487-1757
Mailing Address
-- MADONNA ANN MOSS MSW
619 S MARION AVE
LAKE CITY, FL 32025
Phone number: