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Individual
MS. TINA MARIE MOORE-BOETTCHER
Active
Individual
MS. TINA MARIE MOORE-BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG 60603619
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG 60603619
COUNSELOR AGENCY AFFILIATED REGISTRATION
WA
Enumeration date
07/04/2016
Last updated
07/04/2016
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