Individual
LOREACY MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
8601 SWAN PARK DR, DENTON, TX 76210-7163
(940) 395-8534
Mailing address
8601 SWAN PARK DR, DENTON, TX 76210-7163
(940) 395-8534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11586
TX
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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