THOMAS IAN MOORE

SAN DIEGO, CA
NPI1679934608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  ASW70618)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2016-03-18
Last Update Date2017-10-25
Business Address
THOMAS IAN MOORE
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
Mailing Address
THOMAS IAN MOORE
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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