Individual
MRS. KANDICE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
17350 W 10 MILE RD STE 155, SOUTHFIELD, MI 48075-2929
(248) 893-7308
Mailing address
23825 PHEASANT RUN, NOVI, MI 48375-3350
(248) 893-7308
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MI
247200000X
Other Technician
—
—
Other
Enumeration date
07/25/2016
Last updated
10/07/2019
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