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1700467685
BREDELL KEITH MOODY
RALEIGH, NC
NPI
1700467685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A13082)
Enumeration Date
2021-04-21
Last Update Date
2021-04-21
Business Address
BREDELL KEITH MOODY LCMHCA
7850 BRIER CREEK PKWY STE 102
RALEIGH, NC 27617-8900
Phone number: 919-748-4878
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Mailing Address
BREDELL KEITH MOODY LCMHCA
10900 WORLD TRADE BLVD
RALEIGH, NC 27617-4202
Phone number: 919-237-1337
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