Denisha Taheema Moore
NPI #1386491702 in Port Gibson, Mississippi
Provider Information
- NPI Number
- 1386491702
- Entity Type
- Individual
- Name
- Denisha Taheema Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- May 3, 2024
- Last Updated
- May 3, 2024
Practice Location
- Address
- 4089 PINE GROVE RD
- City
- Port Gibson
- State
- Mississippi
- ZIP Code
- 39150-3021
- Phone
- (601) 831-4719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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