Organization
MOKSHA LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARICE RENEE YERKOVICH LICSW (OWNER)
(681) 214-0025
Entity
Organization
Contact information
Practice address
14 E GRAFTON RD STE A, FAIRMONT, WV 26554-4465
(681) 214-0025
Mailing address
14 E GRAFTON RD STE A, FAIRMONT, WV 26554-4465
(681) 214-0025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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