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1407581226
LEVI MOORE
BOISE, ID
NPI
1407581226
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Former Name
JANEE MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-07-18
Last Update Date
2025-10-08
Business Address
LEVI MOORE
10530 W LANCELOT AVE TELEHEALTH ONLY
BOISE, ID 83704-5249
Phone number: 831-251-1216
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Mailing Address
LEVI MOORE
10530 W LANCELOT AVE
BOISE, ID 83704-5249
Phone number:
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