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1215658869
BREANNA MOORE
JACKSONVILLE, FL
NPI
1215658869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH23313)
Enumeration Date
2022-09-12
Last Update Date
2024-06-11
Business Address
BREANNA MOORE MS
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210-2058
Phone number: 904-859-6852
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Mailing Address
BREANNA MOORE MS
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210-2058
Phone number: 904-859-6852
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