DERECK MOODY

JACKSONVILLE, FL
NPI1578905469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-07-22
Last Update Date2013-07-22
Business Address
Mr. DERECK MOODY
1218 HICKMAN RD APT 3
JACKSONVILLE, FL 32216-1209
Phone number: 904-781-0600
Mailing Address
Mr. DERECK MOODY
1218 HICKMAN RD APT 3
JACKSONVILLE, FL 32216-1209
Phone number: 904-781-0600
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