Individual
MRS. MIRANDA MICHELLE MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2900 E GRAND AVE UNIT 13, LARAMIE, WY 82070-5268
(970) 231-9171
Mailing address
2900 E GRAND AVE UNIT 13, LARAMIE, WY 82070-5268
(970) 231-9171
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/22/2011
Last updated
07/12/2024
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