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1225210206
STACEY L MOORE
WAUWATOSA, WI
NPI
1225210206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 3571)
Enumeration Date
2007-11-30
Last Update Date
2007-11-30
Business Address
-- STACEY L MOORE LPC
1220 DEWEY AVE
WAUWATOSA, WI 53213-2504
Phone number: 414-454-6600
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Mailing Address
-- STACEY L MOORE LPC
1220 DEWEY AVE
WAUWATOSA, WI 53213-2504
Phone number: 414-454-6600
Copy
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