Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003232422 |
---|---|
Provider Name | Erica S Mosley |
First Address | Lake City, FL 32024 |
Second Address | Gainesville, FL 32608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2014 |
Last Update Date | 10/03/2014 |