Individual
ALISHA MOQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
440 MAIN ST STE 5, STONEHAM, MA 02180-2649
(781) 850-2060
Mailing address
440 MAIN ST STE 5, STONEHAM, MA 02180-2649
(781) 850-2060
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
123322
MA
Other
Enumeration date
10/04/2018
Last updated
01/09/2021
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