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1487910550
NICOLE SULLIVAN MOORE
COLUMBUS, IN
NPI
1487910550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003909A)
Enumeration Date
2012-04-03
Last Update Date
2012-04-03
Business Address
Ms. NICOLE SULLIVAN MOORE LCSW
1531 13TH ST SUITE 2540
COLUMBUS, IN 47201-1300
Phone number: 812-372-3745
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Mailing Address
Ms. NICOLE SULLIVAN MOORE LCSW
PO BOX 1002
COLUMBUS, IN 47202-1002
Phone number: 812-372-3745
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