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1649232109
JIMMY MOORE
SALEM, VA
NPI
1649232109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904002321)
Enumeration Date
2006-04-03
Last Update Date
2007-07-08
Business Address
-- JIMMY MOORE msw,lcsw
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-983-1018
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Mailing Address
-- JIMMY MOORE msw,lcsw
172 FOREST DR
SALEM, VA 24153-6860
Phone number: 540-389-1219
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