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1144007790
PAUL JOSEPH MOORE
FORT WORTH, TX
NPI
1144007790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 15853)
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
PAUL JOSEPH MOORE LCDC
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
PAUL JOSEPH MOORE LCDC
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300
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