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Individual

DR. ANDREW J. MOYNIHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
45 GREEN ST, WRENTHAM, MA 02093-1701
(508) 944-5483
Mailing address
45 GREEN ST, WRENTHAM, MA 02093-1701
(508) 944-5483

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
298
MA

Other

Enumeration date
07/03/2007
Last updated
07/08/2007
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