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1750634721
ETHEL MOORE
DAYTON, OH
NPI
1750634721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH E0003332)
Enumeration Date
2012-10-16
Last Update Date
2012-10-16
Business Address
-- ETHEL MOORE
3821 LITTLE YORK RD
DAYTON, OH 45414-2409
Phone number: 937-454-0092
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Mailing Address
-- ETHEL MOORE
1126 EVERGREEN PARK CT
DAYTON, OH 45458-2070
Phone number:
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