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Individual

KIMBERLY MOOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
1326 E RIPLEY ST, LITCHFIELD, MN 55355-4525
(320) 593-0440
(320) 593-0442
Mailing address
1326 E RIPLEY ST, LITCHFIELD, MN 55355-4525
(320) 593-0440
(320) 593-0442

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303060
MN

Other

Enumeration date
06/13/2013
Last updated
06/13/2013
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