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Lacy Moon, MSW U/S, LMSW

NPI 1639415581 · on the registry since 2012 · sole proprietor

Practice

Address
400 E Sycamore St
Hollis, OK 73550
Phone
(580) 688-2800
Organisation at this address
Harmon County Healthcare Authority
Shortgrass Community Health Center, Inc
Shortgrass Community Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
171M00000X
390200000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma