MRS. Lisa Renee Moore, LCSW
NPI #1922778935 in Charleston, Mississippi
Provider Information
- NPI Number
- 1922778935
- Entity Type
- Individual
- Name
- MRS. Lisa Renee Moore, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 20, 2021
- Last Updated
- Sep 20, 2021
Practice Location
- Address
- 3005 TEASDALE RD
- City
- Charleston
- State
- Mississippi
- ZIP Code
- 38921-9576
- Phone
- (662) 809-0208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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