ELLIE D. MOODY

STONE MOUNTAIN, GA
NPI1053881755
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2018-11-26
Last Update Date2018-11-26
Business Address
ELLIE D. MOODY
2300 W PARK PL STE 135
STONE MOUNTAIN, GA 30087-3561
Phone number: 678-330-1400
Mailing Address
ELLIE D. MOODY
215 WISTERIA DR
OXFORD, GA 30054-4040
Phone number: 678-360-0488
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