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1063645760
CARLEY MOORE
SANTA ROSA, CA
NPI
1063645760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA M0501051827)
Enumeration Date
2009-08-27
Last Update Date
2009-08-27
Business Address
CARLEY MOORE
429 SPEERS RD
SANTA ROSA, CA 95409-3123
Phone number: 707-571-2215
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Mailing Address
CARLEY MOORE
PO BOX 2587
SANTA ROSA, CA 95405-0587
Phone number: 707-571-2215
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