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1588249502
JEREMY MOORE
HATTIESBURG, MS
NPI
1588249502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 4644)
Enumeration Date
2021-03-11
Last Update Date
2021-03-11
Business Address
JEREMY MOORE CMHT
110 PATTON AVE
HATTIESBURG, MS 39401-6155
Phone number: 601-582-1111
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Mailing Address
JEREMY MOORE CMHT
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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