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1740008424
RYAN MOORE
FORT WORTH, TX
NPI
1740008424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 95451)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
RYAN MOORE
3001 W 5TH ST
FORT WORTH, TX 76107-8900
Phone number: 682-990-6670
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Mailing Address
RYAN MOORE
6084 ALTA MIRA CIR APT 1224
FORT WORTH, TX 76132-5424
Phone number: 903-930-3808
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