Individual
MICHAELA PATRICE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 ALFREDO DR STE A, CLARKSVILLE, TN 37042-2750
(931) 548-7097
Mailing address
139 ALFRED DR STE A, CLARKSVILLE, TN 37043-4733
(931) 614-1916
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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