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Individual

IMANE MOSES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1425 N UNION BLVD, COLORADO SPRINGS, CO 80909-2871
(719) 205-2303
Mailing address
8311 HURLEY DR, FOUNTAIN, CO 80817-1525
(719) 205-2303

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/08/2023
Last updated
09/08/2023
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