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1194196139
AMANDA MOORE
SANTA ROSA, CA
NPI
1194196139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-16
Last Update Date
2015-10-16
Business Address
Ms. AMANDA MOORE
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
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Mailing Address
Ms. AMANDA MOORE
1103 SUNNYVALE CT
SANTA ROSA, CA 95401-4445
Phone number: 707-228-3225
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