Individual
MORRINE MARY MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCCSLP
Contact information
Practice address
1000 E STUART ST, FORT COLLINS, CO 80525-1555
(970) 482-5712
Mailing address
550 N LINCOLN AVE APT 219, LOVELAND, CO 80537-5699
(970) 310-8470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000961
CO
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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