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1336394097
MICHELLE BACON MOORE
NEW ORLEANS, LA
NPI
1336394097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date
2008-11-22
Last Update Date
2010-11-11
Business Address
Ms. MICHELLE BACON MOORE Psy.D.
3450 CHESTNUT ST 3RD FLOOR
NEW ORLEANS, LA 70115-2443
Phone number: 504-412-1580
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Mailing Address
Ms. MICHELLE BACON MOORE Psy.D.
PO BOX 62243
NEW ORLEANS, LA 70162-2243
Phone number: 504-412-1100
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