Individual
CHASTITY ROSE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 STUART RD NE STE 119, CLEVELAND, TN 37312-5876
(844) 244-1818
Mailing address
1510 STUART RD NE STE 119, CLEVELAND, TN 37312-5876
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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