JERROLD MOORE

PLYMOUTH, IN
NPI1649692054
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39001287A)
Enumeration Date2014-01-21
Last Update Date2014-01-21
Business Address
-- JERROLD MOORE LMHC
990 ILLINOIS ST
PLYMOUTH, IN 46563-3622
Phone number: 574-936-9646
Mailing Address
-- JERROLD MOORE LMHC
850 N HARRISON ST
WARSAW, IN 46580-3163
Phone number: 574-267-7169
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