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1790357796
SUSAN MOORE-WALLACE
POTTSTOWN, PA
NPI
1790357796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-11
Last Update Date
2021-07-11
Business Address
SUSAN MOORE-WALLACE
11 ROBINSON ST
POTTSTOWN, PA 19464-6421
Phone number: 484-941-0500
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Mailing Address
SUSAN MOORE-WALLACE
11 ROBINSON ST
POTTSTOWN, PA 19464-6421
Phone number: 484-941-0500
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