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1467231902
MELISSA RAENAE MOORE
LONDON, KY
NPI
1467231902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 275318)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
MELISSA RAENAE MOORE CADC
1501 S MAIN ST STE H
LONDON, KY 40741-2091
Phone number: 606-393-6695
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Mailing Address
MELISSA RAENAE MOORE CADC
4 GILLIAM ST
CORBIN, KY 40701-1520
Phone number: 606-401-7647
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