Individual
TINA MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 MAIN ST, ELLENDALE, DE 19941-2066
(302) 424-5680
Mailing address
700 MAIN ST, ELLENDALE, DE 19941-2066
(302) 424-5680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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