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1679983944
DAISY GENOLIA MOORE
MCCOMB, MS
NPI
1679983944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2014-05-07
Last Update Date
2019-01-14
Business Address
DAISY GENOLIA MOORE M.S.
1701 WHITE ST
MCCOMB, MS 39648-2711
Phone number: 601-249-4217
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Mailing Address
DAISY GENOLIA MOORE M.S.
706 HIGHWAY 51 N
BROOKHAVEN, MS 39601-2366
Phone number: 601-990-2513
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