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Individual

KARAH MOCCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCDCI

Contact information

Practice address
1501C S WHEELER ST, JASPER, TX 75951-5103
(409) 489-8299
Mailing address
1501C S WHEELER ST, JASPER, TX 75951-5103
(409) 489-8299

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37764
TX

Other

Enumeration date
02/09/2018
Last updated
02/09/2018
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