Individual
MOISES LOZACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
6103 MOUNT TACOMA DR SW, LAKEWOOD, WA 98499-2727
(253) 215-7070
Mailing address
1942 HAMMOND AVE, DUPONT, WA 98327-9775
(626) 848-8371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW60844139
WA DEPT OF HEALTH
WA
Enumeration date
06/07/2018
Last updated
02/02/2021
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