Individual
MARGRET MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2080 S FRONTAGE RD STE 108, VICKSBURG, MS 39180-5882
(601) 883-1983
(601) 883-1938
Mailing address
1901A MISSION 66, VICKSBURG, MS 39180-3711
(601) 638-5518
(601) 638-7122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-5050
MS
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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