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1427194877
JAMES EDDIE MOORE
MILWAUKEE, WI
NPI
1427194877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 2041)
Enumeration Date
2007-01-30
Last Update Date
2015-03-16
Business Address
Mr. JAMES EDDIE MOORE CADC-III
2319 W CAPITOL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-744-5370
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Mailing Address
Mr. JAMES EDDIE MOORE CADC-III
5707 W AUER AVE
MILWAUKEE, WI 53216-3135
Phone number: 414-444-3883
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