Individual
SANDRA DELORIS MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3747 HWY 57 S, SENATOBIA, MS 38668
(662) 612-4549
(662) 301-8596
Mailing address
3747 HWY 57 S, SENATOBIA, MS 38668
(662) 612-4549
(662) 301-8596
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
12/08/2021
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