Individual
MS. CECILIA M MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2525 E PARIS AVE SE, SUITE 100, GRAND RAPIDS, MI 49546-6191
(616) 451-3888
(616) 451-2777
Mailing address
2525 E PARIS AVE SE, SUITE 100, GRAND RAPIDS, MI 49546-6191
(616) 451-3888
(616) 451-2777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L903935
MI
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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