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Derrick Moore, LMSW
NPI 1902950736 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1500 E. Woodrow Wilson Dr.
Jackson, MS 39216 - Phone
- (601) 362-4471
- Fax
- (601) 368-4093
- Organisation at this address
- Department Of Veterans Affairs
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi