Mary L Moss

NPI #1154573186 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1154573186
Entity Type: Individual
Name: Mary L Moss
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Oct 22, 2008
Last Updated: Oct 22, 2008

Practice Location

Address: 3450 W 34TH AVE
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-5508
Phone: (870) 534-6067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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