Individual
MS. TERRYL FAYE MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6130 N 18TH DR, PHOENIX, AZ 85015-2054
(602) 841-0860
Mailing address
6130 N 18TH DR, PHOENIX, AZ 85015-2054
(602) 841-0860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3780
AZ
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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