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1750990297
TAKISHA NICOLE MOORE
RICHMOND, TX
NPI
1750990297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 2922019)
Enumeration Date
2020-07-30
Last Update Date
2020-07-30
Business Address
TAKISHA NICOLE MOORE PMRC, MHPS
8602 WITHERS RIDGE DR
RICHMOND, TX 77407-2663
Phone number: 678-973-9092
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Mailing Address
TAKISHA NICOLE MOORE PMRC, MHPS
8602 WITHERS RIDGE DR
RICHMOND, TX 77407-2663
Phone number: 678-973-9092
Copy
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