Individual
MANDY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 324-4368
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 324-4368
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
091139
IA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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