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1003470303
LISA BETH MOORE
WAUKESHA, WI
NPI
1003470303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 3523-266)
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
LISA BETH MOORE LPC-IT
101 W BROADWAY FL 2
WAUKESHA, WI 53186-4833
Phone number: 262-547-5567
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Mailing Address
LISA BETH MOORE LPC-IT
PO BOX 1298
WOODRUFF, WI 54568-1298
Phone number: 262-364-4968
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