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1447746086
JACKIE RAY MOORE
NEW ORLEANS, LA
NPI
1447746086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-06
Last Update Date
2018-07-06
Business Address
JACKIE RAY MOORE
200 S BROAD ST STE 7
NEW ORLEANS, LA 70119-6447
Phone number: 504-312-3331
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Mailing Address
JACKIE RAY MOORE
200 S BROAD ST STE 7
NEW ORLEANS, LA 70119-6447
Phone number:
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