Individual
MISS SHANNON NICOLE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
230 VENTURE CIR, NASHVILLE, TN 37228-1604
(615) 218-0442
Mailing address
697 LONGHUNTER CT, NASHVILLE, TN 37217-3706
(810) 531-3848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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