Individual
DR. ALICIA CLAIRE MOUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
112 MOUSSEAU LANE, PORCUPINE, SD 57772-0184
(605) 455-2535
Mailing address
PO BOX 184, PORCUPINE, SD 57772-0184
(605) 455-2535
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
519
SD
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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