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Individual
MR. SHERMAN CORNELL MOORE SR.
Active
Individual
MR. SHERMAN CORNELL MOORE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.150745
OH
Other
Enumeration date
10/12/2018
Last updated
10/29/2021
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