Individual
MS. ANDREA MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
743 WINER INDUSTRIAL WAY, LAWRENCEVILLE, GA 30046-4348
(770) 633-4284
Mailing address
743 WINER INDUSTRIAL WAY, LAWRENCEVILLE, GA 30046-4348
(770) 633-4284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005449
GA
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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