Individual
SHAUNA MOYNIHAN SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 LINCOLN ST, WORCESTER, MA 01605-2401
(508) 453-4197
Mailing address
95 LINCOLN ST, WORCESTER, MA 01605-2441
(508) 453-4197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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