KEITH BROOKS MOONEY

CANTON, OH
NPI1619513165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA171463)
Enumeration Date2019-11-20
Last Update Date2019-11-20
Business Address
KEITH BROOKS MOONEY CDCA
811 FAIRCREST ST SW
CANTON, OH 44706-4844
Phone number: 330-639-4408
Mailing Address
KEITH BROOKS MOONEY CDCA
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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