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1073293684
JACOB L MOORE
GASTONIA, NC
NPI
1073293684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P019400)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
JACOB L MOORE MSW,LCSWA
2550 COURT DR
GASTONIA, NC 28054-2152
Phone number: 252-773-0195
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Mailing Address
JACOB L MOORE MSW,LCSWA
326 LYTTON FARM RD
TROUTMAN, NC 28166-8663
Phone number: 704-450-3551
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