MICHAEL MOORE

WAUKEGAN, IL
NPI1285007757
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-11-05
Last Update Date2015-11-05
Business Address
-- MICHAEL MOORE LPC
1113 GREENWOOD AVE
WAUKEGAN, IL 60085
Phone number: 847-244-4434
Mailing Address
-- MICHAEL MOORE LPC
4215 HICKORY HILLS DR # P APT 111
WAUKEGAN, IL 60087-5318
Phone number: 630-370-2528
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