Individual
ERICA ROSE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
Mailing address
250 S MAIN ST, PAYETTE, ID 83661-2853
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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