Individual
MISS MARIKA P MOOYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1005 E MAIN ST BLDG B, MEDFORD, OR 97504-7448
(541) 774-8201
(541) 774-7979
Mailing address
1005 E MAIN ST BLDG B, MEDFORD, OR 97504-7448
(541) 774-8201
(541) 774-7979
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
CA
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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