Individual
MAKENZIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5000 HENNESSY BLVD APT 203, BATON ROUGE, LA 70808-4375
(225) 765-6565
Mailing address
1509 GOVERNMENT ST APT 203, BATON ROUGE, LA 70802-4088
(316) 207-0628
(316) 207-0628
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19438
LA
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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