Moore, Breanna Delores

Moore, Breanna Delores is an individual health care provider with primary practice located at 2007 Wildwood Rd , Picayune MS 39466-2178. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Moore, Breanna Delores can be contacted via phone (769) 926-2657.

Contact Information

Primary practice address
2007 Wildwood Rd Picayune MS 39466-2178
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1386290096
LBN Legal business name Moore, Breanna Delores
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2019
Last updated Aug 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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