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Organization
ALABAMA A&M UNIVERSITY
Active
Organization
ALABAMA A&M UNIVERSITY
Active
Other names
AAMU Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MOUZON BASS III (AGENT)
(972) 367-4845
Entity
Organization
Contact information
Practice address
4011 MERIDIAN STREET, HUNTSVILLE, AL 35811
(256) 372-5601
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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