SHANNA MOORE

JACKSON, MS
NPI1801250980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MS  C5737)
Enumeration Date2016-04-05
Last Update Date2016-04-05
Business Address
-- SHANNA MOORE LCSW
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-3145
Mailing Address
-- SHANNA MOORE LCSW
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-3145
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