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1700366846
ERIN K MOORE
SAN RAFAEL, CA
NPI
1700366846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: R1319150818)
Enumeration Date
2018-08-17
Last Update Date
2018-08-17
Business Address
ERIN K MOORE CCAPP
710 C ST STE 8
SAN RAFAEL, CA 94901-3853
Phone number: 415-485-6736
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Mailing Address
ERIN K MOORE CCAPP
1355 SFD BLVD APT 5
SAN ANSELMO, CA 94960-1840
Phone number: 415-489-8009
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