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1881097699
ANTIONETTE C MOORE
TWENTYNINE PALMS, CA
NPI
1881097699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 79025)
Enumeration Date
2014-10-07
Last Update Date
2018-10-18
Business Address
ANTIONETTE C MOORE LCSW
5715 UTAH TRL
TWENTYNINE PALMS, CA 92277-6917
Phone number: 760-367-0730
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Mailing Address
ANTIONETTE C MOORE LCSW
PO BOX 1209
TWENTYNINE PALMS, CA 92277-0980
Phone number: 760-367-0730
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