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1598826778
JILL LOUISE MOORE
LIVONIA, MI
NPI
1598826778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301012292)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
Ms. JILL LOUISE MOORE
18316 MIDDLEBELT RD
LIVONIA, MI 48152-5007
Phone number: 248-615-9730
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Mailing Address
Ms. JILL LOUISE MOORE
13440 WINSTON
REDFORD, MI 48239
Phone number: 248-615-9730
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