JASON RICHARD ELLSWORTH MOORE

ASHLAND, OH
NPI1114218864
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: OH  S.0600769)
Enumeration Date2011-04-29
Last Update Date2011-05-02
Business Address
JASON RICHARD ELLSWORTH MOORE LSW
2233 ROCKY LN
ASHLAND, OH 44805-4701
Phone number: 419-281-3716
Mailing Address
JASON RICHARD ELLSWORTH MOORE LSW
2233 ROCKY LN
ASHLAND, OH 44805-4701
Phone number: 419-281-3716
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