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1457537896
THOMAS L MOORE
MCCALL, ID
NPI
1457537896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC 391)
Enumeration Date
2008-01-16
Last Update Date
2008-01-16
Business Address
Mr. THOMAS L MOORE LCPC
310 E. LAKE ST. TOM MOORE
MCCALL, ID 83638
Phone number: 208-634-4404
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Mailing Address
Mr. THOMAS L MOORE LCPC
PO BOX 4630
MCCALL, ID 83638
Phone number: 208-634-4404
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