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1700493046
TAMMY RENEE MOE
OAKLAND, CA
NPI
1700493046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
TAMMY RENEE MOE
3408 ANDOVER ST
OAKLAND, CA 94609-2817
Phone number: 510-547-1531
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Mailing Address
TAMMY RENEE MOE
3408 ANDOVER ST
OAKLAND, CA 94609-2817
Phone number: 510-547-1531
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