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1912694019
SAVANNAH MOORE
FAIRFIELD, CA
NPI
1912694019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
SAVANNAH MOORE
623 GREAT JONES ST
FAIRFIELD, CA 94533-6005
Phone number: 707-664-7798
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Mailing Address
SAVANNAH MOORE
623 GREAT JONES ST
FAIRFIELD, CA 94533-6005
Phone number: 707-664-7798
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