DERRICK MICHAEL MOORE

JACKSON, MS
NPI1902950736
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MS  M6782)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
Mr. DERRICK MICHAEL MOORE LMSW
1500 E. WOODROW WILSON DR.
JACKSON, MS 39216-5199
Phone number: 601-362-4471
Mailing Address
Mr. DERRICK MICHAEL MOORE LMSW
5354 KEELE ST
JACKSON, MS 39206-4106
Phone number: 601-454-2080
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