Individual
MARYANNE BETH MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 VICTORY RD, DORCHESTER, MA 02122-3518
(617) 371-3010
Mailing address
105 VICTORY RD, DORCHESTER, MA 02122-3518
(617) 371-3010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MA
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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