Individual
MARIA MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 ROYAL AVE, MONROE, LA 71201-5612
(318) 325-7725
(318) 325-7735
Mailing address
712 N 5TH ST, WEST MONROE, LA 71291-2944
(318) 789-6682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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