Individual
SARA ELLEN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2365 LANES FERRY RD, NEWBERN, TN 38059-5313
(731) 676-1453
Mailing address
2365 LANES FERRY RD, NEWBERN, TN 38059-5313
(731) 676-1453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8397
TN
Other
Enumeration date
01/18/2023
Last updated
11/22/2024
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