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1558845743
JERRY R MOORE
MARYSVILLE, OH
NPI
1558845743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OH 1700627)
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
JERRY R MOORE LPC, LICDC
16000 HUNTERS RUN
MARYSVILLE, OH 43040-9659
Phone number: 614-582-1081
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Mailing Address
JERRY R MOORE LPC, LICDC
16000 HUNTERS RUN
MARYSVILLE, OH 43040-9659
Phone number: 614-582-1081
Copy
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