Individual
ALICIA MAE MOIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 N MARKET BLVD STE C, CHEHALIS, WA 98532-2677
(360) 669-6536
Mailing address
PO BOX 1371, CHEHALIS, WA 98532-0340
(360) 266-5585
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61399134
WA
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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