Individual
MS. DENISE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
327 BENCH ST SW, CHATFIELD, MN 55923-1331
(507) 250-3464
Mailing address
327 BENCH ST SW, CHATFIELD, MN 55923-1331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15712
MN
1041S0200X
School Social Worker
424765
MN
Other
Enumeration date
05/22/2007
Last updated
07/10/2014
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