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1932245776
SUSANNA MCKEAN MOORE
OAKLAND, CA
NPI
1932245776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY20756)
Enumeration Date
2007-01-29
Last Update Date
2014-10-29
Business Address
-- SUSANNA MCKEAN MOORE PhD
1501 FRUITVALE AVE
OAKLAND, CA 94601-2322
Phone number: 510-535-6200
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Mailing Address
-- SUSANNA MCKEAN MOORE PhD
1501 FRUITVALE AVE
OAKLAND, CA 94601-2322
Phone number: 510-535-6200
Copy
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