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General NPI Number Information
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NPI Number | 1922407956
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Entity Type | Individual
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Provider Name | RAELYN MARIE MOSHER LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 3002 RESILIENCE WAY
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City | GOLDSBORO
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State | NC
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Zip | 27534-8067
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Country | US
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Telephone | 919-750-8601
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Fax | 919-551-7453
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Provider Business Mailing Address
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Address Line | 3002 RESILIENCE WAY
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City | GOLDSBORO
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State | NC
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Zip | 27534-8067
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Country | US
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Telephone | 919-750-8601
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Fax | 919-551-7453
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW16027
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C012081
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License Number State | NC
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