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Individual
MR. CONNELL MOSLEY SR.
Active
Individual
MR. CONNELL MOSLEY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
164W00000X
Licensed Practical Nurse
Primary
20162552
LA
174H00000X
Health Educator
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/25/2018
Last updated
09/27/2018
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