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1891364212
SHAVON MOODY
CHICAGO, IL
NPI
1891364212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL na)
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
SHAVON MOODY
8906 S BENNETT AVE
CHICAGO, IL 60617-2917
Phone number: 773-269-0040
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Mailing Address
SHAVON MOODY
8906 S BENNETT AVE
CHICAGO, IL 60617-2917
Phone number:
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