Individual
CRYSTAL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9 ROUX 61 DR STE C, NATCHEZ, MS 39120-2176
(601) 897-8100
(601) 897-8111
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(769) 251-5550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M6567
MS
Other
Enumeration date
03/20/2013
Last updated
11/27/2019
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