Individual
MAURICE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 MAIN ST, NORTH LITTLE ROCK, AR 72114-2831
(501) 955-2674
Mailing address
80 ANGEL CT, MABELVALE, AR 72103-1724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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