Moore, Daisy Genolia

Moore, Daisy Genolia is an individual health care provider with primary practice located at 1701 White St , Mccomb MS 39648-2711. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Moore, Daisy Genolia can be contacted via phone (601) 249-4217.

Contact Information

Primary practice address
1701 White St Mccomb MS 39648-2711
Phone: (601) 249-4217
Fax: (601) 249-4234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1679983944
LBN Legal business name Moore, Daisy Genolia
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2014
Last updated Jan 14th, 2019 - about 6 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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