Individual
MRS. DORIS JEAN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAODP
Contact information
Practice address
13340 E WARREN AVE, DETROIT, MI 48215-2112
(313) 822-6940
(313) 822-6946
Mailing address
13340 E WARREN AVE, DETROIT, MI 48215-2112
(313) 822-6940
(313) 822-6946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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