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Individual

DR. EDWARD E. MOODY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
101 BRADBORNE CIR, CLAYTON, NC 27527-4508
(919) 359-2797
Mailing address
101 BRADBORNE CIR, CLAYTON, NC 27527-4508
(919) 359-2797

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
2085
NC
103T00000X
Psychologist
Primary
1637
NC

Other

Enumeration date
06/13/2007
Last updated
09/11/2025
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