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1154636611
SHANNON MONIQUE MOORE
JACKSON, MS
NPI
1154636611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MS 55981)
Enumeration Date
2010-08-09
Last Update Date
2019-03-22
Business Address
Dr. SHANNON MONIQUE MOORE PhD
1675 LAKELAND DR STE 304
JACKSON, MS 39216
Phone number: 769-524-4578
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Mailing Address
Dr. SHANNON MONIQUE MOORE PhD
PO BOX 13563
JACKSON, MS 39236-3563
Phone number: 769-524-4578
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