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1821762220
JACOB ALEXANDER MOORE
ROCKVILLE, MD
NPI
1821762220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD A0611)
Enumeration Date
2021-08-09
Last Update Date
2021-08-31
Business Address
Mr. JACOB ALEXANDER MOORE M.S.
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850-3992
Phone number: 240-750-6467
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Mailing Address
Mr. JACOB ALEXANDER MOORE M.S.
5822 BARNWOOD PL
COLUMBIA, MD 21044-2842
Phone number: 301-272-5080
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