Individual
MS. RUTHIE MOCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
2804 FORUM BLVD, SUITE 3-A, COLUMBIA, MO 65203-6322
(573) 446-6290
(573) 446-0618
Mailing address
2804 FORUM BLVD, SUITE 3-A, COLUMBIA, MO 65203-6322
(573) 446-6290
(573) 446-0618
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY01054
MO
Other
Enumeration date
10/21/2006
Last updated
07/09/2007
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