Individual
CINDY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 NW COURT ST, MARION, SC 29571-2901
(843) 423-8292
(843) 423-8294
Mailing address
103 NW COURT ST, MARION, SC 29571-2901
(843) 423-8292
(843) 423-8294
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12033025
SC
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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