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Individual
MS. RITA R MOSS
Active
Individual
MS. RITA R MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105801
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006409
VALUE OPTIONS
MA
01
—
272276
MAGELLAN
MA
01
—
795658
TUFTS
MA
01
—
M0P05462
BCBS
MA
Enumeration date
08/16/2006
Last updated
07/09/2007
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