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1992449847
DONNELL MOORE
SAINT LOUIS, MO
NPI
1992449847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2010041604)
Enumeration Date
2022-04-26
Last Update Date
2022-04-26
Business Address
Mr. DONNELL MOORE LPC
4452 RUSSELL BLVD
SAINT LOUIS, MO 63110-3210
Phone number: 314-503-5337
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Mailing Address
Mr. DONNELL MOORE LPC
4452 RUSSELL BLVD
SAINT LOUIS, MO 63110-3210
Phone number: 314-503-5337
Copy
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