Individual
STEPHANIE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
875 W. MORENO, COLORADO SPRINGS, CO 80905
(719) 572-6200
(719) 572-6299
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/20/2011
Last updated
11/08/2012
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