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1447858378
THERESA LASHONDA LUCIE MOODY
DALLAS, TX
NPI
1447858378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 78443)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
THERESA LASHONDA LUCIE MOODY LPC-Intern
3653 BRIARGROVE LN APT 1036
DALLAS, TX 75287-6155
Phone number: 616-862-4914
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Mailing Address
THERESA LASHONDA LUCIE MOODY LPC-Intern
3653 BRIARGROVE LN APT 1036
DALLAS, TX 75287-6155
Phone number: 616-862-4914
Copy
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