Whalio Doctors

NPI 1023887080

Teresa Coleman-Moore

Practitioner Clinical Social Worker Ridgeland, MS

Practice location

Address
1012 Brashears PT, Ridgeland, MS 39157-1049
Phone
(662) 299-6833
Mailing address
PO Box 1995, Ridgeland, MS 39158-1995

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSW03126 (RI)

Registry record

NPI
1023887080
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Jan 2024
Record last updated
1 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.