Individual
MRS. MAKENZIE LEE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
508 GENTILLY RD, STATESBORO, GA 30458-5149
(912) 681-7768
Mailing address
226 COURTNEY WAY APT B, STATESBORO, GA 30458-9097
(478) 697-1443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003961
GA
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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