Organization
MOKSHA LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED WILSON (BILLING MANAGER)
(956) 369-8628
Entity
Organization
Contact information
Practice address
1050 17TH ST NW, SUITE 1000, WASHINGTON, DC 20036-5503
(202) 508-3796
(202) 758-2742
Mailing address
1050 17TH ST NW, SUITE 1000, WASHINGTON, DC 20036-5503
(202) 508-3796
(202) 758-2742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS50078247
DC
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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