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1730824616
COLEEN MOORE
NORMAL, IL
NPI
1730824616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180004169)
Enumeration Date
2022-05-04
Last Update Date
2022-05-04
Business Address
COLEEN MOORE
1606 HUNT DR
NORMAL, IL 61761-2192
Phone number: 309-452-0069
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Mailing Address
COLEEN MOORE
1606 HUNT DR
NORMAL, IL 61761-2192
Phone number: 309-452-0069
Copy
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