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1255821690
BETH DALLAS MOORE
CHARLESTON, SC
NPI
1255821690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 11557)
Enumeration Date
2018-05-11
Last Update Date
2018-07-25
Business Address
BETH DALLAS MOORE LMSW
109 BEE ST
CHARLESTON, SC 29401
Phone number: 843-577-5011
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Mailing Address
BETH DALLAS MOORE LMSW
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-577-5011
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