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1003938135
LOUIS MOODY
EL MONTE, CA
NPI
1003938135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-06
Last Update Date
2021-09-20
Business Address
LOUIS MOODY
11227 VALLEY BLVD STE 100
EL MONTE, CA 91731-3299
Phone number: 626-444-0507
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Mailing Address
LOUIS MOODY
1913 S SHADYDALE AVE
WEST COVINA, CA 91790-4621
Phone number: 626-536-9311
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