CARRIE RENAE MOORE

KENOSHA, WI
NPI1508684804
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20205-130)
Enumeration Date2024-09-26
Last Update Date2024-10-29
Business Address
CARRIE RENAE MOORE SAC-IT
6321 23RD AVE
KENOSHA, WI 53143-4805
Phone number: 262-671-1625
Mailing Address
CARRIE RENAE MOORE SAC-IT
1826 N MAIN ST
RACINE, WI 53402-4711
Phone number: 262-752-8659
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