Individual
LAURIE JEAN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9989 WINTER SUN RD, LAUREL, MD 20723-5753
(410) 880-5897
Mailing address
9989 WINTER SUN RD, LAUREL, MD 20723-5753
(410) 880-5897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06623
MD
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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