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1255119129
AUGUSTUS C MOORE
EGLIN AFB, FL
NPI
1255119129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 106215)
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
Mr. AUGUSTUS C MOORE LMSW
307 BOATNER RD
EGLIN AFB, FL 32542-1302
Phone number: 850-883-9412
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Mailing Address
Mr. AUGUSTUS C MOORE LMSW
307 BOATNER RD
EGLIN AFB, FL 32542-1302
Phone number: 850-883-9412
Copy
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