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1104200724
SHANA MOSS
HOUSTON, TX
NPI
1104200724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TX 12752)
Enumeration Date
2015-07-14
Last Update Date
2015-07-14
Business Address
SHANA MOSS MS
16112 NORTH FWY APT 1634
HOUSTON, TX 77090-5540
Phone number: 832-260-5339
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Mailing Address
SHANA MOSS MS
16112 NORTH FWY APT 1634
HOUSTON, TX 77090-5540
Phone number: 832-260-5339
Copy
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