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1154452910
KEVIN MOORE
GOSHEN, IN
NPI
1154452910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34005489A)
Enumeration Date
2007-03-07
Last Update Date
2018-03-24
Business Address
Mr. KEVIN MOORE MSW, LCSW
313 S 3RD ST
GOSHEN, IN 46526-3709
Phone number: 574-535-0880
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Mailing Address
Mr. KEVIN MOORE MSW, LCSW
PO BOX 761
NORTH WEBSTER, IN 46555-0761
Phone number: 574-535-0880
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