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Individual
MARZANNA MOULTON
Active
Individual
MARZANNA MOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023701
—
NJ
05
—
7797403
—
NJ
Enumeration date
05/11/2016
Last updated
11/25/2019
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