| Drucilla Moody, Lcsw | |
|
1082 Vistavia Cir Decatur GA 30033-3413 | |
| (404) 938-9595 | |
| (678) 705-7453 |
| Full Name | Drucilla Moody, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1082 Vistavia Cir, Decatur, Georgia |
| Authorized Official Name and Position | Drucilla Moody (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4049389595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drucilla Moody, Lcsw 1082 Vistavia Cir Decatur GA 30033-3413 Ph: (404) 938-9595 | Drucilla Moody, Lcsw 1082 Vistavia Cir Decatur GA 30033-3413 Ph: (404) 938-9595 |
| NPI Number | 1518359348 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 03/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518359348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003537 (Georgia) | Primary |
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