Individual
MR. DAN MORIARTY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
VA MEDICAL CTR, 215 NORTH MAIN STREET, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
(802) 296-6316
Mailing address
4 GARNET ST, LEBANON, NH 03766-1867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000355
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48195
BC/BS IDENTIFIER
VT
Enumeration date
05/17/2006
Last updated
07/08/2007
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