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1093115867
CAROLYN MARYAM MOODY
SOUTH SAN FRANCISCO, CA
NPI
1093115867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2014-08-29
Last Update Date
2020-07-21
Business Address
CAROLYN MARYAM MOODY LCSW
36 CHESTNUT AVE #5553
SOUTH SAN FRANCISCO, CA 94083-8074
Phone number: 415-200-4587
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Mailing Address
CAROLYN MARYAM MOODY LCSW
PO BOX 5553
SOUTH SAN FRANCISCO, CA 94083-5553
Phone number:
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