Individual
CHRISTINE MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 N EDGEMONT ST, LOS ANGELES, CA 90027-5209
(323) 783-4371
Mailing address
630 W KENNETH RD, GLENDALE, CA 91202-1450
(818) 484-8048
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25422
CA
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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