Individual
LA'SHONA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24600 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2471
(248) 871-1566
Mailing address
24600 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2471
(248) 871-1566
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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