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1679693261
CHARLES MOODY
JONESBORO, AR
NPI
1679693261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AR P0412053)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- CHARLES MOODY LPC
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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Mailing Address
-- CHARLES MOODY LPC
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Copy
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