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1356634190
NICOLE LANELL MOSE
TUSKEGEE, AL
NPI
1356634190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 1777G)
Enumeration Date
2011-05-26
Last Update Date
2011-05-26
Business Address
Mrs. NICOLE LANELL MOSE LGSW
2400 HOSPITAL RD
TUSKEGEE, AL 36083-5001
Phone number: 334-727-0550
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Mailing Address
Mrs. NICOLE LANELL MOSE LGSW
6920 OAK SIDE DR
MONTGOMERY, AL 36117-7609
Phone number: 334-727-0550
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