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1376086538
BRONDALYNN MOORE
SHREVEPORT, LA
NPI
1376086538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-21
Last Update Date
2018-06-06
Business Address
BRONDALYNN MOORE
4019 GREENWOOD RD
SHREVEPORT, LA 71109
Phone number: 318-626-5462
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Mailing Address
BRONDALYNN MOORE
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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