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1467632323
STEVEB JOHN MOODY
IDAHO FALLS, ID
NPI
1467632323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-3913)
Enumeration Date
2007-11-08
Last Update Date
2007-11-08
Business Address
Mr. STEVEB JOHN MOODY LPC
2375 E SUNNYSIDE RD SUITE C
IDAHO FALLS, ID 83404-8280
Phone number: 208-529-5777
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Mailing Address
Mr. STEVEB JOHN MOODY LPC
2375 E SUNNYSIDE RD SUITE C
IDAHO FALLS, ID 83404-8280
Phone number: 208-529-5777
Copy
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