Individual
MS. NATALIE LINN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
Mailing address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-42399
ID
Other
Enumeration date
08/17/2023
Last updated
08/18/2023
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