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1669143012
MICHELLE MOORE
VANCOUVER, WA
NPI
1669143012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60990402)
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
MICHELLE MOORE
811 NE 112TH AVE
VANCOUVER, WA 98684-5115
Phone number: 360-553-1350
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Mailing Address
MICHELLE MOORE
3321 SE WOODBURN RD
WASHOUGAL, WA 98671-8172
Phone number: 360-553-1350
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