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1639907298
ELIZABETH DIANNE MOSES
CLEARLAKE, CA
NPI
1639907298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 18084)
Enumeration Date
2024-07-24
Last Update Date
2024-07-24
Business Address
ELIZABETH DIANNE MOSES
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-994-7090
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Mailing Address
ELIZABETH DIANNE MOSES
PO BOX 1024
LUCERNE, CA 95458-1024
Phone number: 707-274-9101
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