LISA RENEE MOORE

CHARLESTON, MS
NPI1922778935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MS  C2276)
Enumeration Date2021-09-20
Last Update Date2021-09-20
Business Address
Mrs. LISA RENEE MOORE LCSW
3005 TEASDALE RD
CHARLESTON, MS 38921-9576
Phone number: 662-809-0208
Mailing Address
Mrs. LISA RENEE MOORE LCSW
3005 TEASDALE RD
CHARLESTON, MS 38921-9576
Phone number: 662-809-0208