Individual
DEBORAH MOSZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.000854
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.204424
REGISTERED PROFESSIONAL NURSE
IL
01
—
180.000854
LICENSED CLINICAL PROFESSIONAL COUNSELOR
IL
Enumeration date
06/25/2012
Last updated
06/25/2012
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