Individual
MRS. LORI ANN MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-2228
Mailing address
PO BOX 1954, ROCKWALL, TX 75087-2054
(214) 514-1858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
53202
TX
Other
Enumeration date
10/24/2009
Last updated
10/24/2009
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