Individual
MARY E. MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MSW, LICSW
Contact information
Practice address
6714 TWIN HILLS DR W, UNIVERSITY PLACE, WA 98467-2120
(253) 565-2565
Mailing address
6714 TWIN HILLS DR W, UNIVERSITY PLACE, WA 98467-2120
(253) 565-2565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009433
WA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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