Individual
MICHAEL DWIGHT MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APSW
Contact information
Practice address
2075 WINNEBAGO ST, MADISON, WI 53704-5316
(608) 217-8178
Mailing address
2075 WINNEBAGO ST, MADISON, WI 53704-5316
(608) 217-8178
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132315121
WI
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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