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1184079873
STACEY MARIE MOORE
SCRANTON, PA
NPI
1184079873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: PA PC008107)
Enumeration Date
2016-04-29
Last Update Date
2016-04-29
Business Address
Mrs. STACEY MARIE MOORE LPC
1509 MAPLE ST
SCRANTON, PA 18505-2707
Phone number: 570-342-8305
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Mailing Address
Mrs. STACEY MARIE MOORE LPC
736 W OAK ST
OLD FORGE, PA 18518-1124
Phone number: 570-430-4429
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