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Individual

MR. NORMAN THOMAS MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LMFT

Contact information

Practice address
820 JORDAN ST, SUITE 570, SHREVEPORT, LA 71101-4518
(318) 221-4455
(318) 221-4459
Mailing address
820 JORDAN ST, SUITE 570, SHREVEPORT, LA 71101-4518
(318) 221-4455
(318) 221-4459

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
003
LA

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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