Individual
ANNIE MOODY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
306 WYNN DR NW, HUNTSVILLE, AL 35805-1961
(256) 882-2457
Mailing address
241 BUSH ST, IRONDALE, AL 35210-3242
(256) 665-0398
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4082
AL
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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