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1265046510
LAURA JEANNE MOORE
SURPRISE, AZ
NPI
1265046510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AZ LAC-19222)
Enumeration Date
2020-09-03
Last Update Date
2020-09-03
Business Address
LAURA JEANNE MOORE LAC
14961 W BELL RD STE A125
SURPRISE, AZ 85374-3200
Phone number: 623-202-2521
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Mailing Address
LAURA JEANNE MOORE LAC
7454 W QUAIL AVE
GLENDALE, AZ 85308-9613
Phone number: 928-710-3439
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