Individual
CARMEN MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 467-7600
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 467-7600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801080250
MI
171M00000X
Case Manager/Care Coordinator
6801080250
MI
Other
Enumeration date
06/03/2015
Last updated
09/11/2024
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