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Organization
TRACEE MOSS
Active
Organization
TRACEE MOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEE MOSS (OWNER)
(330) 953-1202
Entity
Organization
Contact information
Practice address
3050 SOUTHWIND TRL, YOUNGSTOWN, OH 44514-2880
(330) 953-1202
(330) 953-1204
Mailing address
3050 SOUTHWIND TRL, YOUNGSTOWN, OH 44514-2880
(330) 953-1202
(330) 953-1204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0004017-SUPV
OH
Other
Enumeration date
10/06/2017
Last updated
07/02/2024
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