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1275921280
DESTINEE SHARAE MOORE
CHICAGO, IL
NPI
1275921280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149017231)
Enumeration Date
2014-12-26
Last Update Date
2022-04-25
Business Address
DESTINEE SHARAE MOORE LCSW
30 N MICHIGAN AVE STE 1025
CHICAGO, IL 60602-3756
Phone number: 312-521-0167
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Mailing Address
DESTINEE SHARAE MOORE LCSW
1245 S MICHIGAN AVE UNIT 161
CHICAGO, IL 60605-2408
Phone number: 312-521-0167
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