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1508629254
THEOLA MOORE
FORT LAUDERDALE, FL
NPI
1508629254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
Ms. THEOLA MOORE MS, MHC
2700 NW 62ND ST
FORT LAUDERDALE, FL 33309-1744
Phone number: 754-900-0503
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Mailing Address
Ms. THEOLA MOORE MS, MHC
2700 NW 62ND ST STE B100
FORT LAUDERDALE, FL 33309-1718
Phone number: 754-900-0503
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