| Antonio Moman, LCSWA | |
|
410 Denim Dr, Erwin, NC 28339-2204 | |
| (910) 230-4011 | |
| Not Available |
| Full Name | Antonio Moman |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 410 Denim Dr, Erwin, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831994870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P020245 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Moman, LCSWA 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 | Antonio Moman, LCSWA 410 Denim Dr, Erwin, NC 28339-2204 Ph: (910) 230-4011 |
Michaele Nicole Rivera Guerrero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 Denim Dr, Erwin, NC 28339 Phone: 910-230-4011 Fax: 910-660-0948 | |
Ryquaisa Kyella Humphrey, LCASA, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 596 E Jackson Blvd Bldg B, Erwin, NC 28339 Phone: 910-897-2008 |