Individual
KEVIN MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2215 RANCHO SIRINGO RD APT 1, SANTA FE, NM 87505-5530
(505) 670-8846
Mailing address
2215 RANCHO SIRINGO RD APT 1, SANTA FE, NM 87505-5530
(505) 670-8846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-08789
NM
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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