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Data Detail

Name: Shannon Monique Moore 

Designation: Ph.D.

Issue Date: 2/5/2016

Expiration Date: 6/30/2024

License Number: 55 981

Disciplinary Action: None

Company: Genesis Behavioral Health Services, LLC

City: RIDGELAND

State: MS

Zip: 39157

Work Phone: (769) 524-4578  Ext:

Civil Commitment Certification: