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1487735940
MARY ELLEN MOORE
CHICAGO, IL
NPI
1487735940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071002095)
Enumeration Date
2006-10-18
Last Update Date
2020-05-20
Business Address
Dr. MARY ELLEN MOORE Ph D
2648 W PERSHING RD
CHICAGO, IL 60632-1629
Phone number: 312-806-1885
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Mailing Address
Dr. MARY ELLEN MOORE Ph D
2648 W PERSHING RD
CHICAGO, IL 60632-1629
Phone number: 312-806-1885
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