Individual
LISA MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 ACADEMY HILL RD, PLAINFIELD, CT 06374-1600
(860) 564-2323
Mailing address
14 BRIARWOOD CIR, DOUGLAS, MA 01516-2580
(401) 474-5751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000074
CT
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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