Individual
SHANTERIA MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 N INGLE PL APT 1B, MACON, GA 31210-2519
(478) 318-1617
Mailing address
3300 N INGLE PL APT 1B, MACON, GA 31210-2519
(478) 318-1617
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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