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1215766589
SHANNON CROFT MOORE
SAN JOSE, CA
NPI
1215766589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT142265)
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
SHANNON CROFT MOORE AMFT
232 E GISH RD
SAN JOSE, CA 95112-4706
Phone number: 408-876-4284
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Mailing Address
SHANNON CROFT MOORE AMFT
232 E GISH RD
SAN JOSE, CA 95112-4706
Phone number: 408-876-4284
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