Individual
CYNTHIA M MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW, JP, IPR
Contact information
Practice address
2805 FOUNTAIN PLAZA BLVD, EDINBURG, TX 78539-8031
(956) 316-2224
(956) 316-1717
Mailing address
2805 FOUNTAIN PLAZA BLVD, EDINBURG, TX 78539-8031
(956) 316-2224
(956) 316-1717
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
17286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1988032
—
TX
Enumeration date
01/22/2009
Last updated
09/07/2011
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