BIANCA SADE MOSS

OLIVE BRANCH, MS
NPI1063825669
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TN  4731)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: MS  3847)
Enumeration Date2014-06-11
Last Update Date2022-10-11
Business Address
BIANCA SADE MOSS ST
12857 ARBOR DR
OLIVE BRANCH, MS 38654-9546
Phone number: 901-857-6566
Mailing Address
BIANCA SADE MOSS ST
12857 ARBOR DR
OLIVE BRANCH, MS 38654-9546
Phone number: 901-857-6566