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1720495559
E JEAN HERNDON MOORE
DURHAM, NC
NPI
1720495559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-14
Last Update Date
2014-07-14
Business Address
Dr. E JEAN HERNDON MOORE D.Min., LCASA
117 ROSE BUD DR.
DURHAM, NC 27704
Phone number: 919-475-8693
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Mailing Address
Dr. E JEAN HERNDON MOORE D.Min., LCASA
PO BOX 2894
DURHAM, NC 27715-2894
Phone number: 919-475-8693
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