# CYNTHIA M MOODY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306084769
- **Gender:** F
- **Credential:** LBSW, JP, IPR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | 17286 | TX | Yes |

## Other

- **Enumeration date:** 01/22/2009
- **Last updated:** 09/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1988032 | — | TX |