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1952170946
THEALISA MOSS
MONTCLAIR, NJ
NPI
1952170946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: 44SC06261700)
Enumeration Date
2024-01-01
Last Update Date
2024-01-01
Business Address
THEALISA MOSS LCSW
9 HIGH ST APT W1
MONTCLAIR, NJ 07042-2450
Phone number: 646-346-4165
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Mailing Address
THEALISA MOSS LCSW
9 HIGH ST APT W1
MONTCLAIR, NJ 07042-2450
Phone number: 646-346-4165
Copy
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