Individual
MS. PATRICIA ANN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
93 SILVER ST, WATERVILLE, ME 04901-5923
(207) 873-4253
(207) 872-7548
Mailing address
93 SILVER ST, WATERVILLE, ME 04901-5923
(207) 873-4253
(207) 872-7548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CC2614
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435615099
—
ME
Enumeration date
08/25/2010
Last updated
08/25/2010
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