Individual
TAILAR B MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 MONROE ST, GRETNA, LA 70053-2307
(844) 864-7834
(844) 864-7834
Mailing address
2001 OAK CREEK RD APT C122, NEW ORLEANS, LA 70123-5841
(504) 609-9014
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9195
LA
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
Other
Enumeration date
11/05/2015
Last updated
05/11/2023
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