Individual
MEAGAN J MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(215) 339-4563
Mailing address
1419 S MOLE ST, PHILADELPHIA, PA 19146-4835
(214) 339-4536
(215) 339-5544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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