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1710452057
SHERMAN CORNELL MOORE
BOARDMAN, OH
NPI
1710452057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.150745)
Enumeration Date
2018-10-12
Last Update Date
2021-10-29
Business Address
Mr. SHERMAN CORNELL MOORE CDCA
930 TRAILWOOD DR
BOARDMAN, OH 44512-5007
Phone number: 513-834-7063
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Mailing Address
Mr. SHERMAN CORNELL MOORE CDCA
615 ELSINORE PL STE 200
CINCINNATI, OH 45202-1457
Phone number: 513-834-7063
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