Organization
DRUCILLA MOODY, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DRUCILLA MOODY MSW, LCSW (CLINICAL SOCIAL WORKER)
(404) 938-9595
Entity
Organization
Contact information
Practice address
1082 VISTAVIA CIR, DECATUR, GA 30033-3413
(404) 938-9595
(678) 705-7453
Mailing address
1082 VISTAVIA CIR, DECATUR, GA 30033-3413
(404) 938-9595
(678) 705-7453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003537
GA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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