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1881366672
INGRID SIMONE MOORE
SHREVEPORT, LA
NPI
1881366672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
INGRID SIMONE MOORE
2924 KNIGHT ST STE 434
SHREVEPORT, LA 71105-2413
Phone number: 318-631-1122
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Mailing Address
INGRID SIMONE MOORE
439 E OLIVE ST
SHREVEPORT, LA 71104-2739
Phone number: 318-519-5999
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