Bernita R.s. Moultrie

NPI #1013255579 in Springfield, Massachusetts

Provider Information

NPI Number: 1013255579
Entity Type: Individual
Name: Bernita R.s. Moultrie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 17, 2013
Last Updated: Jan 17, 2013

Practice Location

Address: 110 MAPLE ST
City: Springfield
State: Massachusetts
ZIP Code: 01105-1864
Phone: (413) 732-7419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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