BRIAN MOORE

LEMON GROVE, CA
NPI1366650673
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
BRIAN MOORE
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-0733
Mailing Address
BRIAN MOORE
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-0733
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