JACQUAN MOORE

SAINT CLAIR SHORES, MI
NPI1588232433
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-06-16
Last Update Date2021-06-16
Business Address
JACQUAN MOORE MS
19605 ALGER ST
SAINT CLAIR SHORES, MI 48080-3336
Phone number: 586-943-6079
Mailing Address
JACQUAN MOORE MS
19605 ALGER ST
SAINT CLAIR SHORES, MI 48080-3336
Phone number: 586-943-6079
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