Individual
ANDREA GAYLA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 PEE DEE AVE, ALBEMARLE, NC 28001-4932
(704) 986-1500
Mailing address
350 PEE DEE AVE, ALBEMARLE, NC 28001-4932
(704) 986-1500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P006739
NC
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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