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1770067498
JUANESE MOORE
TUCKER, GA
NPI
1770067498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC010471)
Enumeration Date
2018-09-18
Last Update Date
2021-03-25
Business Address
JUANESE MOORE LPC
4500 HUGH HOWELL RD STE 620D
TUCKER, GA 30084-4720
Phone number: 770-609-7288
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Mailing Address
JUANESE MOORE LPC
375 ROCKBRIDGE RD NW STE 172-350
LILBURN, GA 30047-8225
Phone number: 770-609-7288
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