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Individual

STEPHANIE MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPA

Contact information

Practice address
300 VEAZEY DR, BUTNER, NC 27509-1668
(919) 764-7629
Mailing address
300 VEAZEY DR, BUTNER, NC 27509-1668
(919) 764-7629

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5385
NC

Other

Enumeration date
01/29/2019
Last updated
01/29/2019
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