Individual
MS. ELLEN MOSCINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
40 PARK RD, WESTBROOK, ME 04092-3188
(207) 857-8080
Mailing address
40 PARK RD, WESTBROOK, ME 04092-3188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4610
ME
1041C0700X
Clinical Social Worker
LCS9160
CA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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