Individual
CHRISTINA RAYE MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
417 MAIN AVE STE 401, FARGO, ND 58103-1956
(701) 289-7676
Mailing address
417 MAIN AVE STE 401, FARGO, ND 58103-1956
(701) 289-7676
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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