Individual
MRS. NICOLE LANELL MOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 725-2776
Mailing address
6920 OAK SIDE DR, MONTGOMERY, AL 36117-7609
(334) 727-0550
(334) 725-2776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1777G
AL
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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