TERRY MOORE

XENIA, OH
NPI1578903357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  120982)
Enumeration Date2013-06-26
Last Update Date2013-06-26
Business Address
-- TERRY MOORE
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
Mailing Address
-- TERRY MOORE
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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