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1750002929
JESSICA LEE MOORE
ROSEVILLE, MN
NPI
1750002929
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Former Name
JESSICA LEE RIPLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 29099)
Enumeration Date
2022-09-07
Last Update Date
2023-11-28
Business Address
JESSICA LEE MOORE LICSW
2700 SNELLING AVE N STE 400
ROSEVILLE, MN 55113-1783
Phone number: 763-210-4698
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Mailing Address
JESSICA LEE MOORE LICSW
3116 EMERSON AVE S APT 3
MINNEAPOLIS, MN 55408-2774
Phone number: 763-458-6143
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