Individual
JUANICE MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8017 CARDIGAN WAY, SHREVEPORT, LA 71129-4902
(318) 332-2542
(318) 332-2542
Mailing address
8017 CARDIGAN WAY, SHREVEPORT, LA 71129-4902
(318) 332-2542
(318) 332-2542
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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