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1801325477
HOLLY ELIZABETH MOORE
MODESTO, CA
NPI
1801325477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-06-07
Last Update Date
2017-06-07
Business Address
HOLLY ELIZABETH MOORE
2000 W BRIGGSMORE AVE STE 1
MODESTO, CA 95350-3839
Phone number: 209-526-1476
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Mailing Address
HOLLY ELIZABETH MOORE
2000 W BRIGGSMORE AVE
MODESTO, CA 95350-3839
Phone number: 209-526-1476
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