Individual
MRS. ANGELA MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4781 S GRAND ST, MONROE, LA 71202-6403
(318) 362-4507
Mailing address
109 LINZIE RILEY RD, MARION, LA 71260-4700
(318) 292-4231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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