Individual
MICHELLE RENEE MOANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 S HARRISON ST OFC AB, EASTON, MD 21601-3089
(410) 924-7912
Mailing address
8163 JUNE WAY, EASTON, MD 21601-4879
(410) 924-7912
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
BH001781
MD
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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