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1497070965
MARY MARGARET MOORE
VANCOUVER, WA
NPI
1497070965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00002617)
Enumeration Date
2010-03-28
Last Update Date
2010-03-28
Business Address
Ms. MARY MARGARET MOORE CDP
1601 E FOURTH PLAIN BLVD BLDG 17, STE 222
VANCOUVER, WA 98661-3753
Phone number: 360-397-8488
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Mailing Address
Ms. MARY MARGARET MOORE CDP
PO BOX 1845
VANCOUVER, WA 98668-1845
Phone number: 360-397-8488
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