Individual
ARIANNA MALLORY MOFFAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 828-9116
Mailing address
58 WALL ST, MIDDLEBORO, MA 02346-3050
(774) 766-2759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/27/2020
Last updated
08/22/2022
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