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1912556861
LACITA MOODY
BRIDGETON, MO
NPI
1912556861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-09-04
Last Update Date
2022-08-21
Business Address
LACITA MOODY MA
3430 MCKELVEY RD STE L
BRIDGETON, MO 63044-2556
Phone number: 314-325-9758
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Mailing Address
LACITA MOODY MA
3430 MCKELVEY RD STE L
BRIDGETON, MO 63044-2556
Phone number: 314-325-9758
Copy
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