Individual
MRS. ELIZABETH IRENE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 LAKE ST, GARDNER, MA 01440-3879
(978) 632-4432
(978) 632-6022
Mailing address
31 LAKE ST, GARDNER, MA 01440-3879
(978) 632-4432
(978) 632-6022
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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