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1447368162
ELIZABETH C IRWIN MOORE
WAUWATOSA, WI
NPI
1447368162
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Former Name
ELIZABETH C IRWIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 6763-123)
Enumeration Date
2006-08-25
Last Update Date
2007-09-12
Business Address
Ms. ELIZABETH C IRWIN MOORE LCSW
1220 DEWEY AVE BLDG #3
WAUWATOSA, WI 53213
Phone number: 414-454-6566
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Mailing Address
Ms. ELIZABETH C IRWIN MOORE LCSW
1220 DEWEY AVE
WAUWATOSA, WI 53213-2504
Phone number: 414-454-6779
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