Individual
DA'TREVION MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
14241 E 4TH AVE STE 300, AURORA, CO 80011-8712
(833) 369-1144
Mailing address
2520 WEWATTA WAY UNIT 434, DENVER, CO 80216-3855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009927305
CO
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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