Individual
MOESHA TECOLA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2065 LAVINGTON CT APT 206, ROCK HILL, SC 29732-7504
(803) 402-7967
Mailing address
2065 LAVINGTON CT APT 206, ROCK HILL, SC 29732-7504
(803) 402-7967
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-268067
SC
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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