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Individual
DR. C L MOORE
Active
Individual
DR. C L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LP LMFT
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
440
CO
103T00000X
Psychologist
LP2246
MN
103T00000X
Psychologist
PY00000625
WA
106H00000X
Marriage & Family Therapist
Primary
1
MN
Other
Enumeration date
03/14/2007
Last updated
09/11/2025
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