Individual
QUINTAVIOUS O'NEAL MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
328 DEPOT ST LEXINGTON MS, LEXINGTON, MS 39095-3909
(662) 834-1709
Mailing address
328 DEPOT ST LEXINGTON MS, LEXINGTON, MS 39095-3909
(662) 834-1709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4206
MS
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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