Individual
KRISITN MOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
570 BEACON ST, LOWELL, MA 01850-1328
(978) 937-2838
Mailing address
570 BEACON ST, LOWELL, MA 01850-1328
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
111103-SW-LICSW
MA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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