Individual
MRS. ELEANOR NICOLE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 RIVERS ST, GREENWOOD, SC 29649-8513
(864) 227-1001
Mailing address
1612 RIVERS ST, GREENWOOD, SC 29649-8513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
04/29/2016
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