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1174191241
ANDREA MOSS
CHAMPAIGN, IL
NPI
1174191241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 149012800)
Enumeration Date
2021-06-15
Last Update Date
2021-06-15
Business Address
ANDREA MOSS LCSW
1802 S MATTIS AVE
CHAMPAIGN, IL 61821-5923
Phone number: 217-383-1850
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Mailing Address
ANDREA MOSS LCSW
611 W PARK ST FAPC
URBANA, IL 61801
Phone number:
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