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1851333876
BRIAN LEN MOORE
SPRINGDALE, AR
NPI
1851333876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 1421-C)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
-- BRIAN LEN MOORE LCSW
3277 W SUNSET AVE
SPRINGDALE, AR 72762-4980
Phone number: 479-750-2020
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Mailing Address
-- BRIAN LEN MOORE LCSW
PO BOX 6430
SPRINGDALE, AR 72766-6430
Phone number: 479-750-2020
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