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Individual

ANDREA ISABELLE MOYA MUNOZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLC

Contact information

Practice address
124 N COURT ST, FREDERICK, MD 21701-6614
(301) 304-7108
Mailing address
220 W WASHINGTON ST APT 1, CHARLES TOWN, WV 25414-1544
(917) 371-3601

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
825
WV

Other

Enumeration date
06/23/2023
Last updated
06/17/2025
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