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Individual

MISS LORIN BONHAM MOSELEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5401 FALLOWATER LN, SUITE C, ROANOKE, VA 24018-0948
(540) 989-1383
(540) 989-8092
Mailing address
5401 FALLOWATER LN, SUITE C, ROANOKE, VA 24018-0948
(540) 989-1383
(540) 989-8092

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004253
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701004253
ANTHEM
VA
Enumeration date
09/12/2007
Last updated
09/12/2007
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