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Individual
MS. HEIDI LOUISE MORAN
Active
Individual
MS. HEIDI LOUISE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP 60211219
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MLADC 0572
NH
Other
Enumeration date
04/03/2012
Last updated
01/02/2014
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