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1679013213
GEORGE MOODY
LODI, CA
NPI
1679013213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-03-01
Last Update Date
2017-03-01
Business Address
-- GEORGE MOODY
12755 N HIGHWAY 88
LODI, CA 95240-9323
Phone number: 209-340-5809
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Mailing Address
-- GEORGE MOODY
12755 N HIGHWAY 88
LODI, CA 95240-9323
Phone number: 209-340-5809
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