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1245276385
MELISSA I MOOSE
SHELBY, NC
NPI
1245276385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C004426)
Enumeration Date
2006-06-20
Last Update Date
2007-07-08
Business Address
-- MELISSA I MOOSE LC SW
917 1ST ST
SHELBY, NC 28150-3958
Phone number: 704-476-4028
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Mailing Address
-- MELISSA I MOOSE LC SW
PO BOX 4003
GASTONIA, NC 28054-0020
Phone number: 704-865-3525
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