Individual
MOIRA JANE NELLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
56 LAKE SHORE DR, MONTVILLE, NJ 07045-9794
(973) 650-6687
Mailing address
8125 11TH AVE, BROOKLYN, NY 11228-2911
(973) 650-6687
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06862600
NJ
1041S0200X
School Social Worker
44SL06862600
NJ
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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