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1861400244
DANIEL MOORE
HATTIESBURG, MS
NPI
1861400244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MS 33-545)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
Mr. DANIEL MOORE PhD
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number: 601-544-4641
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Mailing Address
Mr. DANIEL MOORE PhD
PO BOX 1030
HATTIESBURG, MS 39403-1030
Phone number: 601-544-4641
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