Individual
VICTORIA L MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4930 DEMPSEY DR, CROSS LANES, WV 25313-2002
(304) 769-2294
Mailing address
1307 WILLIAMSTOWN PIKE, WILLIAMSTOWN, WV 26187-8168
(304) 834-4619
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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