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1093561987
LISA J MOORE LLC
ORANGE PARK, FL
NPI
1093561987
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Entity Type
Organization
Authorized Contact
ELISABETH J TUDOR
Owner
904-269-2931
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-04-30
Last Update Date
2024-04-30
Business Address
LISA J MOORE LLC
1409 KINGSLEY AVE STE 9D
ORANGE PARK, FL 32073-4580
Phone number: 904-571-8701
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Mailing Address
LISA J MOORE LLC
1409 KINGSLEY AVE STE 9D
ORANGE PARK, FL 32073-4580
Phone number: 904-571-8701
Copy
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