KEVIN JEWAYNE MOORE

BENTON HARBOR, MI
NPI1710551510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-05-17
Last Update Date2021-05-17
Business Address
KEVIN JEWAYNE MOORE
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-925-0585
Mailing Address
KEVIN JEWAYNE MOORE
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-925-0585
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