MARTIN MOORE

HATTIESBURG, MS
NPI1720745813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  M9920)
Enumeration Date2021-11-23
Last Update Date2021-11-23
Business Address
MARTIN MOORE
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number: 601-544-4641
Mailing Address
MARTIN MOORE
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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