Individual
JENNIFER MOOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11827 OCEAN GATEWAY, WORCESTER COUNTY HEALTH DEPARTMENT - WACS CENTER, OCEAN CITY, MD 21842
(410) 213-0202
(410) 213-1408
Mailing address
941 SUMAC CIR, SALISBURY, MD 21804-7906
(410) 251-5200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705371101
—
MD
Enumeration date
01/27/2009
Last updated
01/27/2009
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