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1013392596
KERIE MOORE
VIENNA, IL
NPI
1013392596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149021412)
Enumeration Date
2015-07-24
Last Update Date
2019-07-31
Business Address
KERIE MOORE LCSW
406 E VINE ST
VIENNA, IL 62995-1612
Phone number: 618-658-3079
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Mailing Address
KERIE MOORE LCSW
408 E VINE ST PO BOX 1328
VIENNA, IL 62995-1612
Phone number: 618-658-2611
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