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Individual
MARY B MOONEN
Active
Individual
MARY B MOONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3413
FL
1041C0700X
Clinical Social Worker
Primary
SW8791
FL
Other
Enumeration date
03/23/2006
Last updated
10/11/2011
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