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Individual
BOBBYE JEAN MOORE
Active
Individual
BOBBYE JEAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
M1007281844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4838
DRUG MEDICAL
CA
Enumeration date
03/10/2008
Last updated
11/12/2015
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