Individual
CONSTANCE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 E ROUMFORT RD, PHILADELPHIA, PA 19119-1618
(267) 408-9206
Mailing address
26 E ROUMFORT RD, PHILADELPHIA, PA 19119-1618
(267) 408-9206
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC003240
PA
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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