Individual
CONSTANCE M MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 N 99TH ST STE 307, WAUWATOSA, WI 53226-4362
(414) 774-6878
(414) 774-6879
Mailing address
601 N 99TH ST STE 307, WAUWATOSA, WI 53226-4362
(414) 774-6878
(414) 774-6879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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