Individual
MS. FRANCES LEIGH MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3755 SANCTUARY WAY N, JACKSONVILLE BEACH, FL 32250-5048
(904) 822-8067
Mailing address
3755 SANCTUARY WAY N, JACKSONVILLE BEACH, FL 32250-5048
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW17058
FL
1041C0700X
Clinical Social Worker
149.012894
IL
1041C0700X
Clinical Social Worker
Primary
SW17058
FL
Other
Enumeration date
09/15/2010
Last updated
01/03/2023
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