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1023301058
EBONY M MOORE
LITTLE ROCK, AR
NPI
1023301058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-05-24
Last Update Date
2011-05-24
Business Address
-- EBONY M MOORE
6425 W 12TH ST
LITTLE ROCK, AR 72204-1509
Phone number: 501-666-8686
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Mailing Address
-- EBONY M MOORE
6425 W 12TH ST
LITTLE ROCK, AR 72204-1509
Phone number: 501-666-8686
Copy
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