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1114254380
CAROL E MOORE
MINNEAPOLIS, MN
NPI
1114254380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302205)
Enumeration Date
2009-11-10
Last Update Date
2009-11-10
Business Address
-- CAROL E MOORE LADC
914 S 8TH ST # S131
MINNEAPOLIS, MN 55404-1210
Phone number: 612-347-7600
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Mailing Address
-- CAROL E MOORE LADC
914 S 8TH ST # S131
MINNEAPOLIS, MN 55404-1210
Phone number:
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