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1134639891
STEPHANIE MOORE
GRANTS PASS, OR
NPI
1134639891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-09
Last Update Date
2017-10-09
Business Address
STEPHANIE MOORE
418 NW 6TH ST STE 102
GRANTS PASS, OR 97526-2006
Phone number: 541-672-2691
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Mailing Address
STEPHANIE MOORE
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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