LISA LEAH MOORE

SELAH, WA
NPI1265909865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  cp00000778)
Enumeration Date2018-11-01
Last Update Date2018-11-01
Business Address
Mrs. LISA LEAH MOORE cdp
2280 SR 821
SELAH, WA 98901
Phone number: 509-457-0990
Mailing Address
Mrs. LISA LEAH MOORE cdp
2280 SR 821
SELAH, WA 98901
Phone number: 509-457-0990
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