Individual
DR. MARLIN KEM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4647
Mailing address
PO BOX 42, ABILENE, TX 79604-0042
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24810
TX
103TH0100X
Health Service Psychologist
4810
TX
Other
Enumeration date
01/03/2006
Last updated
01/24/2025
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