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Individual

DEBORAH S. MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.P.C.

Contact information

Practice address
333 N. MICHIGAN AVE., #1114, CHICAGO, IL 60601
(312) 246-0196
Mailing address
845 W. AINSLIE 1W, CHICAGO, IL 60640
(312) 246-0196

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180006678
IL

Other

Enumeration date
10/23/2008
Last updated
10/23/2008
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