CANDICE MOORE

GRENADA, MS
NPI1538565106
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  OT1829)
Enumeration Date2014-11-10
Last Update Date2014-11-10
Business Address
-- CANDICE MOORE OTR/L
105A WINDMILL CV
GRENADA, MS 38901-9305
Phone number: 662-299-6918
Mailing Address
-- CANDICE MOORE OTR/L
105A WINDMILL CV
GRENADA, MS 38901-9305
Phone number: 662-299-6918
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