MICHAEL DEWAYNE MOORE

LANCASTER, CA
NPI1396334371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-01-13
Last Update Date2021-01-13
Business Address
MICHAEL DEWAYNE MOORE
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
Mailing Address
MICHAEL DEWAYNE MOORE
8508 W AVENUE C
LANCASTER, CA 93536-9415
Phone number: 661-916-0743
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