Individual provider · Type 1 NPI

Colin Thomas Moylan

School Social Worker · Grand Rapids, MI

NPI number 1235745522 Active

Practice location

1115 Ball Ave NE
Grand Rapids, MI 49505-5904

Mailing address

311 Morrison St Apt 14
Big Rapids, MI 49307-2223

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200XNone listed

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About NPI 1235745522

Colin Thomas Moylan's National Provider Identifier is 1235745522, issued on Sep 22, 2020. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 22, 2020.