Individual
CARLY MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4625 E BROADWAY BLVD STE 105, TUCSON, AZ 85711-3575
(520) 333-7261
Mailing address
7712 N RED WING PL, TUCSON, AZ 85741-1331
(423) 802-8414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-19094
AZ
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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