RUSSELL MOODY

JASPER, OR
NPI1871062372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2018-11-14
Last Update Date2018-11-14
Business Address
RUSSELL MOODY
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
Mailing Address
RUSSELL MOODY
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
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