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Individual

MS. PATRICIA B. MOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN,CS,BC, LPC, NCC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC002573
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN043959
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006429956A
GA
Enumeration date
02/01/2007
Last updated
05/04/2023
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