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1578047338
CANDICE MOORE
GREENVILLE, NC
NPI
1578047338
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Former Name
CANDICE FREESE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 21982)
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
CANDICE MOORE LCAS-A
1375 CAMILLA DR
GREENVILLE, NC 27834-9556
Phone number: 252-258-5243
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Mailing Address
CANDICE MOORE LCAS-A
1375 CAMILLA DR
GREENVILLE, NC 27834-9556
Phone number: 252-258-5243
Copy
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