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1316155633
LAFACIAL WILSON MOORE
BIRMINGHAM, AL
NPI
1316155633
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Former Name
LAFACIAL YVETTE WILSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AL 2364)
Enumeration Date
2007-05-18
Last Update Date
2017-01-13
Business Address
Dr. LAFACIAL WILSON MOORE Ph.D.
924 MONTCLAIR RD SUITE 106
BIRMINGHAM, AL 35213-1211
Phone number: 205-218-9398
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Mailing Address
Dr. LAFACIAL WILSON MOORE Ph.D.
924 MONTCLAIR RD SUITE 106
BIRMINGHAM, AL 35213-1211
Phone number: 205-218-9398
Copy
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