Individual
MRS. SHARON W MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 COLONIAL DR, COLUMBIA, SC 29203-6827
(803) 898-2270
Mailing address
4 ERNIE CT, IRMO, SC 29063-7829
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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