Individual
STACY MOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 436-4306
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 436-4306
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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