Individual
COLETTE REYNOLDS MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
452 CANARD RD SE, ROME, GA 30161-2599
(706) 844-2297
(706) 234-9756
Mailing address
452 CANARD RD SE, ROME, GA 30161-2599
(706) 844-2297
(706) 234-9756
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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