Individual
MOIRA HENNINGS O'CROTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
1305 TACOMA AVE S STE 305, TACOMA, WA 98402-1903
(253) 281-1822
Mailing address
1305 TACOMA AVE S, SUITE 305, TACOMA, WA 98402-1903
(253) 281-1822
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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