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1871984906
MAYA MOORE
STOCKTON, CA
NPI
1871984906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA PT37834)
Enumeration Date
2015-02-11
Last Update Date
2015-02-11
Business Address
-- MAYA MOORE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8660
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Mailing Address
-- MAYA MOORE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8660
Copy
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