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1164849147
DAVID BRIAN MOORE
GRAND RAPIDS, MI
NPI
1164849147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801085397)
Enumeration Date
2014-03-27
Last Update Date
2014-03-27
Business Address
Mr. DAVID BRIAN MOORE LMSW
3501 LAKE EASTBROOK BLVD SE SUITE 258
GRAND RAPIDS, MI 49546-5938
Phone number: 616-719-0194
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Mailing Address
Mr. DAVID BRIAN MOORE LMSW
6845 TERRA COTTA DR SE
CALEDONIA, MI 49316-8005
Phone number: 616-450-1590
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