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1336462324
LISA LYNELLE MOORE
MINNEAPOLIS, MN
NPI
1336462324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MA 115630)
Enumeration Date
2010-03-05
Last Update Date
2018-05-04
Business Address
MS. LISA LYNELLE MOORE MSW, LICSW, PHD
2637 27TH AVE S STE 231
MINNEAPOLIS, MN 55406-3196
Phone number: 503-528-4033
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Mailing Address
MS. LISA LYNELLE MOORE MSW, LICSW, PHD
1304 LIBERTY CT
NORTHFIELD, MN 55057-2915
Phone number: 503-528-4033
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