Individual
MICHELLE MARIE MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CMHN
Contact information
Practice address
12 N PARK ST, SENECA FALLS, NY 13148-1437
(315) 568-9412
(315) 588-2441
Mailing address
12 N PARK ST, SENECA FALLS, NY 13148-1437
(315) 568-9412
(315) 588-2441
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
551539
NY
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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