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1881745321
BONNIE RAE MOORE
BURBANK, CA
NPI
1881745321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW 8385)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- BONNIE RAE MOORE LCSW
2312 W OLIVE AVE
BURBANK, CA 91506-2628
Phone number: 818-885-1290
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Mailing Address
-- BONNIE RAE MOORE LCSW
2312 W OLIVE AVE
BURBANK, CA 91506-2628
Phone number: 818-885-1290
Copy
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