Individual
ANDROMEDA MOODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6928 NW 30TH AVE STE 6928, FORT LAUDERDALE, FL 33309-1337
(954) 594-6816
Mailing address
6928 NW 30TH AVE STE 6928, FORT LAUDERDALE, FL 33309-1337
(954) 594-6816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MT4375
FL
Other
Enumeration date
01/06/2018
Last updated
05/31/2022
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