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1124753918
DAVID MOORE
GOSHEN, IN
NPI
1124753918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34007612A)
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
DAVID MOORE LCSW
57340 ALPHA DR
GOSHEN, IN 46528-7808
Phone number: 574-621-3229
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Mailing Address
DAVID MOORE LCSW
57340 ALPHA DR
GOSHEN, IN 46528-7808
Phone number:
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