Individual
MR. EDWARD PATRICK MORIARITY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
124 W PINE ST, MISSOULA, MT 59802-4222
(406) 546-6597
Mailing address
124 W PINE ST, MISSOULA, MT 59802-4222
(406) 546-6597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
995
MT
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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