GEORGE MOODY

LODI, CA
NPI1679013213
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-03-01
Last Update Date2017-03-01
Business Address
-- GEORGE MOODY
12755 N HIGHWAY 88
LODI, CA 95240-9323
Phone number: 209-340-5809
Mailing Address
-- GEORGE MOODY
12755 N HIGHWAY 88
LODI, CA 95240-9323
Phone number: 209-340-5809
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