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Individual
DR. MOCHA MARIE MIMS
Active
Individual
DR. MOCHA MARIE MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, PH.D
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12665
NC
101YP2500X
Professional Counselor
6401009343
MI
103T00000X
Psychologist
—
—
Other
Enumeration date
05/08/2007
Last updated
07/09/2024
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