Provider Information for 1578997706
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DONNA SUE MOSHIER LPC
Sex: Female
NPI: 1578997706
Last Updated: 2020-05-08
Certification Date: 2020-05-08
Certification Date: 2020-05-08
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1578997706 | ||||||||||||
| Enumeration Date | 2013-08-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 206 N CHERRY ST HARRISON, AR 72601-3414 United States Phone: 870-577-4443 | Fax:870-741-2722 | ||||||||||||
| Primary Practice Address | 206 N CHERRY ST HARRISON, AR 72601 United States Phone: 870-577-4443 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 702 N MAIN ST STE F 310 GRETNA RD | ||||||||||||
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