Individual
CARLY MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3377 S PRICE RD STE 110, CHANDLER, AZ 85248-3573
(480) 280-8888
Mailing address
1634 W MAPLEWOOD ST, CHANDLER, AZ 85286-6829
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-22102
AZ
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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