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1114097250
LISA K MOORE
RICHMOND, IN
NPI
1114097250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
-- LISA K MOORE
831 DILLON DR
RICHMOND, IN 47374-8048
Phone number: 765-983-8000
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Mailing Address
-- LISA K MOORE
PO BOX 487
RICHMOND, IN 47375-0487
Phone number: 765-983-8000
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