Individual
MATTIGAN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 FENWOOD RD, BOSTON, MA 02115-6103
(617) 626-9479
Mailing address
75 FENWOOD RD # 239, BOSTON, MA 02115-6103
(617) 626-9479
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW230822
MA
Other
Enumeration date
11/20/2024
Last updated
01/14/2025
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