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1811497092
DIANNE MOORE
SHREVEPORT, LA
NPI
1811497092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-02-14
Last Update Date
2018-09-23
Business Address
Miss DIANNE MOORE
1543 GRIMMETT DR
SHREVEPORT, LA 71107-6505
Phone number: 318-626-5597
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Mailing Address
Miss DIANNE MOORE
1543 GRIMMETT DR
SHREVEPORT, LA 71107-6505
Phone number:
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