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1386743649
MARY LISA MOORE
FAYETTEVILLE, NC
NPI
1386743649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 5216)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
-- MARY LISA MOORE
2905 BREEZEWOOD AVE SUITE 101
FAYETTEVILLE, NC 28303
Phone number: 910-223-9927
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Mailing Address
-- MARY LISA MOORE
1415 WEST HWY 54 SUITE 101
DURHAM, NC 27707
Phone number: 919-402-0120
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