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1548900681
JORDAN A MOORE
COLUMBIA, SC
NPI
1548900681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC RBT-23-268884)
Enumeration Date
2022-03-29
Last Update Date
2023-05-18
Business Address
JORDAN A MOORE
1048 WILDWOOD CENTRE DR
COLUMBIA, SC 29229-8420
Phone number: 706-842-5330
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Mailing Address
JORDAN A MOORE
PO BOX 2567
AUGUSTA, GA 30903-2567
Phone number: 706-842-5330
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