Individual
DUWADE MARSHALL MOSES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(301) 489-6735
Mailing address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(301) 489-6735
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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