Individual
ESTHER DENISE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 CARTER ST, VIDALIA, LA 71373
(318) 336-4797
Mailing address
PO BOX 1573, FERRIDAY, LA 71334-1573
(318) 336-4797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
09/20/2018
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