Individual
FELICIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 WOODSTONE RD APT K3, CLINTON, MS 39056-4931
(601) 717-2788
Mailing address
416 WOODSTONE RD APT K3, CLINTON, MS 39056-4931
(601) 717-2788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8087
MS
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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