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1265627483
TYRA N MOORE
COLUMBUS, IN
NPI
1265627483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34007393A)
Enumeration Date
2007-09-11
Last Update Date
2024-11-05
Business Address
TYRA N MOORE LMSW, LCSW
5801 MADISON CT
COLUMBUS, IN 47203-4575
Phone number: 716-954-3563
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Mailing Address
TYRA N MOORE LMSW, LCSW
5801 MADISON CT
COLUMBUS, IN 47203-4575
Phone number: 716-954-3563
Copy
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