Individual
KIMBERLY RUTH MOSELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
2016 EXETER RD, GERMANTOWN, TN 38138-3945
(901) 337-7524
Mailing address
7126 MIMOSA DR, GERMANTOWN, TN 38138-5721
(804) 687-5621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14287906
TN
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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