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1295962413
LISA JEANINE MOORE
SOUTHFIELD, MI
NPI
1295962413
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Former Name
LISA JEANINE THORNTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801078772)
Enumeration Date
2009-06-15
Last Update Date
2009-06-15
Business Address
Mrs. LISA JEANINE MOORE LMSW
22511 TELEGRAPH RD SUITE 101
SOUTHFIELD, MI 48033-4115
Phone number: 248-356-0540
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Mailing Address
Mrs. LISA JEANINE MOORE LMSW
22511 TELEGRAPH RD SUITE 101
SOUTHFIELD, MI 48033-4115
Phone number: 248-356-0540
Copy
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