Individual
MS. SANDRA MOED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
1830 N DAYTON ST, PHOENIX, AZ 85006-2137
(602) 250-7838
(602) 495-9300
Mailing address
3631 E MONTEROSA ST, #5, PHOENIX, AZ 85018-4833
(602) 250-7838
(602) 495-9300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0050
AZ
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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