RYAN MOORE

DAYTON, OH
NPI1669096459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA173645)
Enumeration Date2020-06-08
Last Update Date2020-06-08
Business Address
RYAN MOORE CDCA
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 937-387-6395
Mailing Address
RYAN MOORE CDCA
25 VIRGINIA AVE
DAYTON, OH 45410
Phone number: 937-414-3273
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