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1124541933
BRIAN MOORE
ANDOVER, MN
NPI
1124541933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 01555)
Enumeration Date
2017-07-24
Last Update Date
2024-10-25
Business Address
BRIAN MOORE LPCC
1875 STATION PKWY NW
ANDOVER, MN 55304-3319
Phone number: 763-482-9598
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Mailing Address
BRIAN MOORE LPCC
1875 STATION PKWY NW
ANDOVER, MN 55304-3319
Phone number: 763-482-9598
Copy
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