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Individual

MAUREEN ANNE MORIARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
6950 HILLSDALE COURT, INDPLS, IN 46250-2040
(317) 621-7740
Mailing address
9101 RYMARK DR, INDIANAPOLIS, IN 46250-1358

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001581A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100270530A
IN
Enumeration date
09/20/2006
Last updated
10/22/2021
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