Individual
MS. MARJORIE DORIS MOSKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
28 ROBERTA AVE, PAWTUCKET, RI 02860-6142
(401) 723-3364
Mailing address
28 ROBERTA AVE, PAWTUCKET, RI 02860-6142
(401) 723-3364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00293
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412169
BLUE CHIP OF RI
RI
01
—
6245042
UNITED BEHAVIORAL HEALTH
RI
01
—
73871
BLUE CROSS BLUE SHIELD
RI
Enumeration date
12/19/2006
Last updated
07/08/2007
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