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Individual
JAMES THOMAS MORAN
Active
Individual
JAMES THOMAS MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5701
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1213
—
SC
Enumeration date
11/03/2009
Last updated
06/28/2021
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