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1831241249
STANLEY GARDNER MOORE
HUNTERSVILLE, NC
NPI
1831241249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C003581)
Enumeration Date
2007-01-17
Last Update Date
2007-07-09
Business Address
Mr. STANLEY GARDNER MOORE LCSW
9118 PARK GROVE ST
HUNTERSVILLE, NC 28078-5517
Phone number: 704-948-9344
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Mailing Address
Mr. STANLEY GARDNER MOORE LCSW
9118 PARK GROVE ST
HUNTERSVILLE, NC 28078-5517
Phone number: 704-948-9344
Copy
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