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1679946214
BRENDA MOORE
JAMAICA, NY
NPI
1679946214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 26645)
Enumeration Date
2015-11-04
Last Update Date
2021-06-21
Business Address
BRENDA MOORE MHC, CASAC, FDLC
89-30 161T STREET SCO CHILDREN AND FAMILY SERVICES
JAMAICA, NY 11432
Phone number: 718-674-7773
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Mailing Address
BRENDA MOORE MHC, CASAC, FDLC
19608 99TH AVE
HOLLIS, NY 11423-3301
Phone number: 347-489-3434
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