Moody, Maranda

Moody, Maranda is an individual health care provider with primary practice located at 4220 N Grand Blvd , Saint Louis MO 63107-1804. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Moody, Maranda can be contacted via phone (314) 534-6624.

Contact Information

Primary practice address
4220 N Grand Blvd Saint Louis MO 63107-1804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1689356677
LBN Legal business name Moody, Maranda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2023
Last updated Aug 1st, 2023 - about 3 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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