Individual
DAVID JOSEPH MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 WISCONSIN AVE NW APT 508, WASHINGTON, DC 20007-4109
(202) 528-3812
(612) 329-0215
Mailing address
2201 WISCONSIN AVE NW APT 508, WASHINGTON, DC 20007-4109
(202) 528-3812
(612) 329-0215
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
03/31/2023
Last updated
02/12/2025
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