Individual
MRS. ALICIA LATICHA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 MILLBROOKE CIR, ELIZABETH CITY, NC 27909-5190
(252) 267-4554
Mailing address
506 MILLBROOKE CIR, ELIZABETH CITY, NC 27909-5190
(252) 267-4554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PO20328
NC
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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