Organization
CMOODY & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MOODY LISW (CEO)
(513) 324-2615
Entity
Organization
Contact information
Practice address
3909 DICKSON AVE, CINCINNATI, OH 45229-1339
(513) 324-2615
(513) 751-1322
Mailing address
3909 DICKSON AVE, CINCINNATI, OH 45229-1339
(513) 324-2615
(513) 751-1322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I4207-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629384177
NPI
OH
Enumeration date
01/19/2011
Last updated
01/19/2011
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