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1295440428
NICOLE MOOSE
VISTA, CA
NPI
1295440428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 98168)
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
NICOLE MOOSE LCSW
2428 CATALINA AVE
VISTA, CA 92084-4810
Phone number: 760-691-1609
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Mailing Address
NICOLE MOOSE LCSW
1690 ELEVADO RD
VISTA, CA 92084-2801
Phone number: 760-710-1807
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