MEDICARE: MONIQUE MOZEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	S.2105881	OH

General Provider Information

NPI Number	:	1275302945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE MOZEE

Provider Business Mailing Address
First Line	:	4625 SEMINARY RD APT 301
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-1427
Country	:	US
Telephone Number	:	502-708-0085
Fax Number	:

Provider Business Practice Location Address
First Line	:	4625 SEMINARY RD APT 301
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-1427
Country	:	US
Telephone Number	:	502-708-0085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2023
Last Update Date	:	12/22/2023

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Directions to “ MONIQUE MOZEE ” Practice Location

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