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1578905469
DERECK MOODY
JACKSONVILLE, FL
NPI
1578905469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-07-22
Last Update Date
2013-07-22
Business Address
Mr. DERECK MOODY
1218 HICKMAN RD APT 3
JACKSONVILLE, FL 32216-1209
Phone number: 904-781-0600
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Mailing Address
Mr. DERECK MOODY
1218 HICKMAN RD APT 3
JACKSONVILLE, FL 32216-1209
Phone number: 904-781-0600
Copy
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