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1992929160
DAVID N MOORE
BALSAM LAKE, WI
NPI
1992929160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WI 1109 120)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
-- DAVID N MOORE Lsw
100 POLK COUNTY PLZ SUITE 50
BALSAM LAKE, WI 54810-9071
Phone number: 715-485-8414
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Mailing Address
-- DAVID N MOORE Lsw
PO BOX 21
BALSAM LAKE, WI 54810-0021
Phone number: 715-485-9343
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