Individual
DURANT MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
221 E PINE ST, SWAINSBORO, GA 30401-3679
(678) 421-4033
Mailing address
511 ROBIN RD # B, SWAINSBORO, GA 30401-3430
(678) 421-4033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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