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1982158481
YANCY MOORE
ABERDEEN, WA
NPI
1982158481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60186868)
Enumeration Date
2016-08-12
Last Update Date
2018-05-01
Business Address
YANCY MOORE CDP
2700 SIMPSON AVENUE SUITE 101
ABERDEEN, WA 98520
Phone number: 360-612-0012
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Mailing Address
YANCY MOORE CDP
921 14TH AVENUE
LONGVIEW, WA 98632
Phone number: 360-423-0203
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