Individual
ANNALEE ROSE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
523 1/2 COURT STREET, WILLIAMSBURG, IA 52361-5236
(319) 668-1217
(319) 668-1220
Mailing address
801 10TH AVENUE PL, CORALVILLE, IA 52241-1778
(309) 737-3550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097640
IA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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