MS. MIMZY TACKNEY-MOEN, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1275690612
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 985042 (CO) |
Frequently Asked Questions
NPI 1275690612 is the National Provider Identifier for MS. MIMZY TACKNEY-MOEN, LCSW, a Social Worker - Clinical provider located in Greenwood Village, CO. This NPI was enumerated on January 3, 2007.
MS. MIMZY TACKNEY-MOEN, LCSW practices at 8000 E PRENTICE AVE STE D12, Greenwood Village, CO 80111.
Quick Facts
- NPI
- 1275690612
- Type
- Individual
- Enumerated
- Jan 3, 2007
- Last Updated
- Jul 8, 2007
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