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Individual

ROSE ELIZABETH HAMMER MOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(859) 253-1686
Mailing address
2227 DRAKE AVE SW STE 19, HUNTSVILLE, AL 35805-5146
(256) 881-1311

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/22/2018
Last updated
11/29/2022
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