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1518125590
VIVIAN MARIE MOORE
CHICAGO, IL
NPI
1518125590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.006905)
Enumeration Date
2008-05-27
Last Update Date
2008-05-27
Business Address
-- VIVIAN MARIE MOORE LCPC
132 E 79TH ST
CHICAGO, IL 60619-2302
Phone number: 773-487-0515
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Mailing Address
-- VIVIAN MARIE MOORE LCPC
PO BOX 5354
LANSING, IL 60438-5354
Phone number: 312-714-8372
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