Individual
BERNADETTE M MOITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
794 MASSACHUSETTS AVE, BOSTON, MA 02118-2319
(617) 534-6126
(857) 288-6658
Mailing address
1010 MASSACHUSETTS AVE FL 6, BOSTON, MA 02118-2600
(617) 534-3134
(617) 534-2611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2027022
MA
Other
Enumeration date
05/22/2007
Last updated
08/13/2019
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