Individual
MS. CONNIE J MORIATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
908 MCCLINTIC STREET, GROESBECK, TX 76642
(254) 729-5463
(254) 549-1000
Mailing address
PO BOX 401, GROESBECK, TX 76642-0401
(254) 729-5463
(254) 549-1000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TX
Other
Enumeration date
12/20/2006
Last updated
07/09/2007
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