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1114218864
JASON RICHARD ELLSWORTH MOORE
ASHLAND, OH
NPI
1114218864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: OH S.0600769)
Enumeration Date
2011-04-29
Last Update Date
2011-05-02
Business Address
-- JASON RICHARD ELLSWORTH MOORE LSW
2233 ROCKY LN
ASHLAND, OH 44805-4701
Phone number: 419-281-3716
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Mailing Address
-- JASON RICHARD ELLSWORTH MOORE LSW
2233 ROCKY LN
ASHLAND, OH 44805-4701
Phone number: 419-281-3716
Copy
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