Individual
EMILY DIANE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
28534 GRANVILLE LN, TRAPPE, MD 21673-1879
(301) 873-5148
Mailing address
8614 OCEAN GTWY 4, EASTON, MD 21601-7217
(410) 690-8181
(410) 690-8185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12770
MD
1041C0700X
Clinical Social Worker
LC303565
DC
Other
Enumeration date
08/12/2006
Last updated
11/06/2015
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