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1245697580
ANDREW MOON
HALES CORNERS, WI
NPI
1245697580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 129286-121)
Enumeration Date
2016-01-18
Last Update Date
2016-01-26
Business Address
-- ANDREW MOON APSW
10940 W FOREST HOME AVE
HALES CORNERS, WI 53130-2516
Phone number: 262-278-4462
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Mailing Address
-- ANDREW MOON APSW
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: 815-391-5600
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