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1952096489
DIANE A. MOORE
EMERYVILLE, CA
NPI
1952096489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY9439)
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
DIANE A. MOORE Ph.D
5900 HOLLIS ST STE J
EMERYVILLE, CA 94608-2008
Phone number: 501-648-9496
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Mailing Address
DIANE A. MOORE Ph.D
5900 HOLLIS ST STE J
EMERYVILLE, CA 94608-2008
Phone number:
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