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1679234561
JOHNETTA COLLEEN MOORE
COLUMBUS, OH
NPI
1679234561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 178588)
Enumeration Date
2022-01-04
Last Update Date
2022-01-04
Business Address
JOHNETTA COLLEEN MOORE
1430 S HIGH ST
COLUMBUS, OH 43207-1045
Phone number: 614-445-8131
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Mailing Address
JOHNETTA COLLEEN MOORE
1791 ALUM CREEK DR
COLUMBUS, OH 43207-1708
Phone number: 144-458-1316
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