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1629267547
SUSAN MANGUM MOORE
LUMBERTON, NC
NPI
1629267547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NC 6607)
Enumeration Date
2007-10-16
Last Update Date
2007-10-16
Business Address
SUSAN MANGUM MOORE LPC
4701 FAYETTEVILLE RD
LUMBERTON, NC 28358-2622
Phone number: 910-735-1541
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Mailing Address
SUSAN MANGUM MOORE LPC
PO BOX 2738
PEMBROKE, NC 28372-2738
Phone number: 910-785-2144
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