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Individual

CASEY MARIE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
162 E CARSON ST, COLUSA, CA 95932-2866
(530) 458-0520
(530) 458-7751
Mailing address
162 E CARSON ST, COLUSA, CA 95932-2866
(530) 458-0520
(530) 458-7751

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/28/2007
Last updated
06/17/2011
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