Individual
ANTHONY MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
39715 GREENVIEW PL APT 3, PLYMOUTH, MI 48170-4564
(810) 444-1638
Mailing address
39715 GREENVIEW PL APT 3, PLYMOUTH, MI 48170-4564
(810) 444-1638
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801093212
MI
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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