CHARLY A MOORE

BURLINGTON, WA
NPI1528666369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60996036)
Enumeration Date2020-10-14
Last Update Date2020-10-14
Business Address
CHARLY A MOORE SUDPT
614 PETERSON RD
BURLINGTON, WA 98233-2606
Phone number: 360-757-0131
Mailing Address
CHARLY A MOORE SUDPT
1730 LABOUNTY DR # 9-248
FERNDALE, WA 98248-8959
Phone number: 360-510-2996
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