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1083757876
KIMBERLY A. MOORE
COVINA, CA
NPI
1083757876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ACSW24402)
Enumeration Date
2007-02-14
Last Update Date
2008-11-12
Business Address
Ms. KIMBERLY A. MOORE ACSW
1126 N GRAND AVE SUITE D
COVINA, CA 91724-1551
Phone number: 626-967-1667
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Mailing Address
Ms. KIMBERLY A. MOORE ACSW
1126 N GRAND AVE SUITE D
COVINA, CA 91724-1551
Phone number: 626-967-1667
Copy
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