Individual
LINDA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1339 S GRANT AVE, JANESVILLE, WI 53546-5406
(414) 975-6715
Mailing address
1415 W LARKSPUR LN, MILWAUKEE, WI 53217-2120
(414) 975-6715
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
WI
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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