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1770059420
TINA R MOORE
SANTA ROSA, CA
NPI
1770059420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 27885)
Enumeration Date
2018-10-21
Last Update Date
2018-10-21
Business Address
Ms. TINA R MOORE MSW, LCSW
3000 CLEVELAND AVE STE 201
SANTA ROSA, CA 95403-2117
Phone number: 707-387-4525
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Mailing Address
Ms. TINA R MOORE MSW, LCSW
113 SIERRA CT
CLOVERDALE, CA 95425-4472
Phone number: 707-391-8181
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