Individual
MS. TAE-IM MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
750 GEORGE WASHINGTON WAY, SUITE 8, RICHLAND, WA 99352
(509) 946-7012
(509) 946-8475
Mailing address
750 GEORGE WASHINGTON WAY, SUITE 8, RICHLAND, WA 99352
(509) 946-7012
(509) 946-8475
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1767
WA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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