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1679798417
SUSAN I MOORE
GLEN BURNIE, MD
NPI
1679798417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD ACO239)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN I MOORE BA,CAC-AD
122 LANGLEY RD N STE A
GLEN BURNIE, MD 21060-6539
Phone number: 410-222-6725
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Mailing Address
Mrs. SUSAN I MOORE BA,CAC-AD
1294 BRECKENRIDGE CIR
RIVA, MD 21140-1341
Phone number: 410-222-6725
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