Missy A Moulder
NPI #1437970498 in Princeton, West Virginia
Provider Information
- NPI Number
- 1437970498
- Entity Type
- Individual
- Name
- Missy A Moulder
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Oct 22, 2024
- Last Updated
- Dec 19, 2024
Practice Location
- Address
- 2118 TWELVEMILE RD
- City
- Princeton
- State
- West Virginia
- ZIP Code
- 24739-6917
- Phone
- (304) 887-1083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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