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1710249594
IRENE D MOORE
RICHMOND, CA
NPI
1710249594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA 68350 MFTI)
Enumeration Date
2012-06-08
Last Update Date
2015-03-18
Business Address
IRENE D MOORE MFTI
4175 LAKESIDE DR
RICHMOND, CA 94806-5774
Phone number: 510-262-6551
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Mailing Address
IRENE D MOORE MFTI
4175 LAKESIDE DR
RICHMOND, CA 94806-5774
Phone number: 510-262-6551
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