Individual
MS. MOIRNA T O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC 1
Contact information
Practice address
200 TER HEUN DR, FALMOUTH, MA 02540-2525
(508) 540-6550
(508) 540-7480
Mailing address
28 HOMEFIELD AVE, PROVIDENCE, RI 02908-1810
(508) 284-7005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
511
MA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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