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1033475850
CARL MOORE
SEATTLE, WA
NPI
1033475850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP 00006161)
Enumeration Date
2012-04-05
Last Update Date
2019-02-01
Business Address
CARL MOORE CDP
1901 MLK JR WAY S
SEATTLE, WA 98144-4801
Phone number: 206-322-7676
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Mailing Address
CARL MOORE CDP
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-6572
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