Moody, Denise
Moody, Denise is an sole proprietor health care provider with primary practice located at 327 Bench St Sw , Chatfield MN 55923-1331. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moody, Denise can be contacted via phone (507) 250-3464.Contact Information
Primary practice address
327 Bench St Sw
Chatfield MN 55923-1331
Phone: (507) 250-3464
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 15712 | Minnesota |
Behavioral Health & Social Service Providers / School | 1041S0200X | 424765 | Minnesota |
Profile Details
NPI number | 1629287883 |
---|---|
LBN Legal business name | Moody, Denise |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 22nd, 2007 |
Last updated | Jul 10th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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