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1205390069
ROSE AMANDA MOORE
INGLEWOOD, CA
NPI
1205390069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-25
Last Update Date
2019-01-25
Business Address
ROSE AMANDA MOORE RADT
2504 W MANCHESTER BLVD
INGLEWOOD, CA 90305-2520
Phone number: 323-751-3805
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Mailing Address
ROSE AMANDA MOORE RADT
26648 9TH ST APT 245
HIGHLAND, CA 92346-5553
Phone number: 424-419-9708
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