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1174805741
JERRY WAYNE MOORE
HAVERHILL, MA
NPI
1174805741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2011-09-09
Last Update Date
2011-09-09
Business Address
-- JERRY WAYNE MOORE theraputic Mentor
60 MERRIMAC ST
HAVERHILL, MA 01830-6207
Phone number: 978-373-1126
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Mailing Address
-- JERRY WAYNE MOORE theraputic Mentor
60 MERRIMAC STREET
HAVEHILL, MA 01830
Phone number: 978-373-1126
Copy
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