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Organization

MISSY MOSS, LCSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MELISSA MAE MOSS LCSW (MENTAL HEALTH COUNSELOR)
(435) 760-0753
Entity
Organization

Contact information

Practice address
965 S MAIN ST STE 5, CEDAR CITY, UT 84720-4309
(435) 760-0753
Mailing address
965 S MAIN ST STE 5, CEDAR CITY, UT 84720-4309
(435) 760-0753

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7133656-3501
UT

Other

Enumeration date
04/09/2018
Last updated
04/09/2018
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