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1801250980
SHANNA MOORE
JACKSON, MS
NPI
1801250980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C5737)
Enumeration Date
2016-04-05
Last Update Date
2016-04-05
Business Address
-- SHANNA MOORE LCSW
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-3145
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Mailing Address
-- SHANNA MOORE LCSW
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-3145
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