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Individual
JOANNE MORAN
Active
Individual
JOANNE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1019800
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
718468
TUFTS HEALTH PLAN
MA
01
—
8332-01
PACIFICCARE
MA
Enumeration date
12/27/2006
Last updated
07/08/2007
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