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1740990415
AUDREY MOODY
CONVERSE, TX
NPI
1740990415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1099816)
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
Ms. AUDREY MOODY PMHNP-BC
9422 COPPERWAY
CONVERSE, TX 78109-2063
Phone number: 210-322-0191
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Mailing Address
Ms. AUDREY MOODY PMHNP-BC
9422 COPPERWAY
CONVERSE, TX 78109-2063
Phone number: 210-322-0191
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