Breanna Delores Moore

NPI #1386290096 in Picayune, Mississippi

Provider Information

NPI Number: 1386290096
Entity Type: Individual
Name: Breanna Delores Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 18, 2019
Last Updated: Aug 18, 2019

Practice Location

Address: 2007 WILDWOOD RD
City: Picayune
State: Mississippi
ZIP Code: 39466-2178
Phone: (769) 926-2657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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