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1417060765
STACEY LEE MOORE
MASON CITY, IA
NPI
1417060765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IA 04904)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
Mrs. STACEY LEE MOORE BSW
235 S EISENHOWER AVE
MASON CITY, IA 50401-1562
Phone number: 641-424-2075
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Mailing Address
Mrs. STACEY LEE MOORE BSW
235 S EISENHOWER AVE
MASON CITY, IA 50401-1562
Phone number: 641-424-2075
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