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Tammy R. Moody, LCSW

Social Worker, Clinical in Johnson City, TN. Individual provider (NPI-1).

NPI number1528132016
StatusActive
Last updated in NPPESMay 10, 2008

Details

NPI
1528132016
Entity type
Individual (NPI-1)
Name
Tammy R. Moody
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 17, 2006
Last updated
May 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLSW 876TNYes

Practice location

332 E Springbrook Dr
Suite 500
Johnson City, TN 37601-1767

Phone 423-282-1394 · Fax 423-282-1394

Mailing address

332 E Springbrook Dr
Suite 500
Johnson City, TN 37601-1767

Phone 423-282-1394 · Fax 423-282-1394

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