SUSAN I MOORE

GLEN BURNIE, MD
NPI1679798417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  ACO239)
Enumeration Date2007-04-16
Last Update Date2007-07-08
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
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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