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1114291747
PHYLLIS M. MOODY
CHAPEL HILL, NC
NPI
1114291747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-02-29
Last Update Date
2012-03-27
Business Address
Ms. PHYLLIS M. MOODY LCAS-P
104 NEW STATESIDE DR
CHAPEL HILL, NC 27516-1165
Phone number: 919-942-2803
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Mailing Address
Ms. PHYLLIS M. MOODY LCAS-P
104 NEW STATESIDE DR
CHAPEL HILL, NC 27516-1165
Phone number: 919-942-2803
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