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1457885402
CANDYCE MOORE
GARDENA, CA
NPI
1457885402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1238741213)
Enumeration Date
2017-04-17
Last Update Date
2017-04-17
Business Address
-- CANDYCE MOORE
13931 VAN NESS AVE
GARDENA, CA 90249-2941
Phone number: 310-768-8018
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Mailing Address
-- CANDYCE MOORE
13931 VAN NESS AVE
GARDENA, CA 90249-2941
Phone number: 310-768-8018
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