Individual
MS. JENNIFER LYNN MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
202 MAMANASCO RD, #19, RIDGEFIELD, CT 06877-1728
(203) 731-4598
Mailing address
202 MAMANASCO RD, #19, RIDGEFIELD, CT 06877-1728
(203) 731-4598
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007827
CT
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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