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Individual

ELIZABETH MOISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
210 MANOR ST, MARION, AR 72364-1936
(870) 739-6818
(870) 739-1970
Mailing address
602 NORTH RIVER BEND DRIVE, MARION, AR 72364
(901) 634-7249

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R55021
AR

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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