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Individual
SANDRA LEE MOEHLE
Active
Individual
SANDRA LEE MOEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A-3648-SASCC
CT
1041C0700X
Clinical Social Worker
Primary
004535
CT
Other
Enumeration date
10/11/2006
Last updated
06/17/2013
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