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1518556265
WILLIAM HENRY MOORE
SACRAMENTO, CA
NPI
1518556265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-01-15
Last Update Date
2021-01-15
Business Address
WILLIAM HENRY MOORE radt
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8434
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Mailing Address
WILLIAM HENRY MOORE radt
6610 MANASSERO WAY
SACRAMENTO, CA 95820-2149
Phone number: 916-284-7521
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