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1124521307
WILLIAM KENNETH MOORE
SPARTANBURG, SC
NPI
1124521307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-14
Last Update Date
2018-03-14
Business Address
Mr. WILLIAM KENNETH MOORE Counselor II, MA
187 W BROAD ST
SPARTANBURG, SC 29306-3234
Phone number: 864-582-7588
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Mailing Address
Mr. WILLIAM KENNETH MOORE Counselor II, MA
187 W BROAD ST
SPARTANBURG, SC 29306-3234
Phone number: 864-582-7588
Copy
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