Individual
MRS. JUANITA GOLEMON MOORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1610 6TH ST, MAMOU, LA 70554
(337) 468-0487
(337) 468-0445
Mailing address
404 E 6TH AVE, OAKDALE, LA 71463-2628
(318) 335-2191
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10222
LA
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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