Provider Demographics
NPI:1033342126
Name:MOSES, MONICA COREE (MSW)
Entity Type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:COREE
Last Name:MOSES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 RIDGE AVE
Mailing Address - Street 2:APT 'A'
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19132-1035
Mailing Address - Country:US
Mailing Address - Phone:215-758-3651
Mailing Address - Fax:
Practice Address - Street 1:3901 RIDGE AVE
Practice Address - Street 2:APT 'A'
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19132-1035
Practice Address - Country:US
Practice Address - Phone:215-758-3651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical