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1730569534
GINELLE MOORE
RIVERVIEW, FL
NPI
1730569534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL IMH 13461)
Enumeration Date
2015-06-05
Last Update Date
2015-06-05
Business Address
GINELLE MOORE
6020 PORTSDALE PL UNIT 102
RIVERVIEW, FL 33578-4156
Phone number: 813-310-4589
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Mailing Address
GINELLE MOORE
PO BOX 89606
TAMPA, FL 33689-0410
Phone number: 813-310-4589
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