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1518649839
MICHELLE ALICIA MOORE
SUFFOLK, VA
NPI
1518649839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VA 0904015637)
Enumeration Date
2023-08-04
Last Update Date
2023-08-25
Business Address
MICHELLE ALICIA MOORE LCSW
707 GITTINGS ST STE 100
SUFFOLK, VA 23434-6101
Phone number: 757-325-9570
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Mailing Address
MICHELLE ALICIA MOORE LCSW
707 GITTINGS ST STE 100
SUFFOLK, VA 23434-6101
Phone number: 757-325-9570
Copy
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