Individual
JESSIE MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
595 HARRISON AVE, BOSTON, MA 02118-2420
(617) 426-2855
Mailing address
178 TREMONT ST, BOSTON, MA 02111-1006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110839-SW-LICSW
MA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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