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1295778389
JILL SHANNON GORDY-MOODY
SAN DIEGO, CA
NPI
1295778389
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Former Name
JILL SHANNON GORDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904005864)
Enumeration Date
2006-06-14
Last Update Date
2013-08-29
Business Address
Mrs. JILL SHANNON GORDY-MOODY LCSW
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-552-8585
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Mailing Address
Mrs. JILL SHANNON GORDY-MOODY LCSW
154 DIANA ST
ENCINITAS, CA 92024-1401
Phone number: 760-889-8933
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