Individual
MS. PAMELA MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9314 PISCATAWAY RD, ROOM 152, CLINTON, MD 20735-3630
(301) 856-9512
(301) 856-9589
Mailing address
9314 PISCATAWAY RD, ROOM 152, CLINTON, MD 20735-3630
(301) 856-9512
(301) 856-9589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCP5663
MD
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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