Individual
SEAN MOYNIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 COUNTY RD, IPSWICH, MA 01938-2309
(978) 380-8135
Mailing address
66 COUNTY RD, IPSWICH, MA 01938-2309
(978) 380-8135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-2104791
CLINICIAN
MA
Enumeration date
04/22/2013
Last updated
04/22/2013
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