Individual
STEPHANIE DAWN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 SERPELL AVE, BELINGTON, WV 26250-8164
(304) 319-0255
Mailing address
421 SERPELL AVE, BELINGTON, WV 26250-8164
(304) 319-0255
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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