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Individual
MISS MELISSA MOSS
Active
Individual
MISS MELISSA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
7133656-3501
UT
1041S0200X
School Social Worker
Primary
—
NULL
Other
Enumeration date
01/06/2011
Last updated
12/14/2024
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