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1194735092
EBONY DAWN MOORE
LOUISVILLE, KY
NPI
1194735092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 4761)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
Ms. EBONY DAWN MOORE
800 ZORN AVE
LOUISVILLE, KY 40206-1433
Phone number: 502-287-4000
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Mailing Address
Ms. EBONY DAWN MOORE
11706 AUTUMN FOREST CT
LOUISVILLE, KY 40229-4600
Phone number: 502-749-9785
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