Individual
ANGELA RYLAND MOOERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 863-1132
(228) 865-1700
Mailing address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 860-6113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M3404
MS
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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