Colin Thomas Moylan

NPI #1235745522 in Grand Rapids, Michigan

Provider Information

NPI Number: 1235745522
Entity Type: Individual
Name: Colin Thomas Moylan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - School
Enumeration Date: Sep 22, 2020
Last Updated: Sep 22, 2020

Practice Location

Address: 1115 BALL AVE NE
City: Grand Rapids
State: Michigan
ZIP Code: 49505-5904
Phone: (616) 456-6571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X	Primary

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