Shantill Lynn Moody

NPI #1245990381 in The Dalles, Oregon

Provider Information

NPI Number
1245990381
Entity Type
Individual
Name
Shantill Lynn Moody
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Peer Specialist
Enumeration Date
Dec 29, 2021
Last Updated
Dec 29, 2021

Practice Location

Address
1060 WEBBER ST
State
Oregon
ZIP Code
97058-3749
Phone
(541) 296-5452

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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