DERRICK MOSS
Social Worker - Clinical
Active
Individual
NPI: 1417530221
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 6801105045 (MI) |
Frequently Asked Questions
NPI 1417530221 is the National Provider Identifier for DERRICK MOSS, a Social Worker - Clinical provider located in Detroit, MI. This NPI was enumerated on April 29, 2021.
DERRICK MOSS practices at 4646 JOHN R ST, Detroit, MI 48201.
Quick Facts
- NPI
- 1417530221
- Type
- Individual
- Enumerated
- Apr 29, 2021
- Last Updated
- Apr 29, 2021
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