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Individual
MYIESHA ANDERSON-MOFFETT
Active
Individual
MYIESHA ANDERSON-MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801098986
MI
Other
Enumeration date
01/25/2016
Last updated
11/01/2019
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