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1851729099
SERENA KATHRYN MOORE
GARDEN CITY, ID
NPI
1851729099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-33263)
Enumeration Date
2013-10-25
Last Update Date
2013-10-25
Business Address
-- SERENA KATHRYN MOORE LMSW
5583 N GLENWOOD ST
GARDEN CITY, ID 83714-1336
Phone number: 208-287-2564
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Mailing Address
-- SERENA KATHRYN MOORE LMSW
5583 N GLENWOOD ST
GARDEN CITY, ID 83714-1336
Phone number: 208-287-2564
Copy
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