Tyeisha Moore
NPI #1396551131 in Starkville, Mississippi
Provider Information
- NPI Number
- 1396551131
- Entity Type
- Individual
- Name
- Tyeisha Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- Dec 6, 2024
- Last Updated
- Dec 6, 2024
Practice Location
- Address
- 100 STARR AVE STE A
- City
- Starkville
- State
- Mississippi
- ZIP Code
- 39759-4032
- Phone
- (662) 268-8059
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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