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Individual

ALYSSA MOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ALC

Contact information

Practice address
123 LAKE FOREST BLVD, DAPHNE, AL 36526-7517
(251) 490-3389
Mailing address
123 LAKE FOREST BLVD, DAPHNE, AL 36526-7517

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04997
AL

Other

Enumeration date
02/05/2026
Last updated
02/05/2026
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