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1598077281
BRITANNIA GENELLE MOORE
RUSTON, LA
NPI
1598077281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: LA 3943)
Additional Taxonomies
101Y00000X Counselor
(Licence: TX 66491)
Enumeration Date
2010-07-09
Last Update Date
2010-09-23
Business Address
Ms. BRITANNIA GENELLE MOORE LPC
402 KENNON LN APT 5
RUSTON, LA 71270-8800
Phone number: 318-834-2345
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Mailing Address
Ms. BRITANNIA GENELLE MOORE LPC
402 KENNON LN APT 5
RUSTON, LA 71270-8800
Phone number: 318-834-2345
Copy
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