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Individual
TIFFANY A MOSS
Active
Individual
TIFFANY A MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LW60943583
WA
Other
Enumeration date
10/17/2018
Last updated
02/12/2025
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