Individual
DUSTI MOULTRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12639 COURSE VIEW DR, SAN ANTONIO, TX 78221-3178
(309) 208-8552
Mailing address
12639 COURSE VIEW DR, SAN ANTONIO, TX 78221-3178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110497
TX
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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