MRS. Krishna Santasha Moore, LCSW
NPI #1356744114 in Forest, Mississippi
Provider Information
- NPI Number
- 1356744114
- Entity Type
- Individual
- Name
- MRS. Krishna Santasha Moore, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Oct 7, 2014
- Last Updated
- Oct 7, 2014
Practice Location
- Address
- 612 MARION BLVD
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074-3225
- Phone
- (601) 604-0519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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