TAMMY DEMORIA BLACKMORE

BILOXI, MS
NPI1316434327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MS  C9233)
Additional Taxonomies104100000X Social Worker
(Licence: AL  4037C)
Enumeration Date2018-04-16
Last Update Date2018-04-16
Business Address
TAMMY DEMORIA BLACKMORE
400 VETERANS AVE
BILOXI, MS 39531-2410
Phone number: 228-523-4783
Mailing Address
TAMMY DEMORIA BLACKMORE
400 VETERANS AVE
BILOXI, MS 39531-2410
Phone number: 228-523-4783