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Colin Thomas Moylan
School Social Worker in Grand Rapids, Michigan
NPI 1235745522

Colin Thomas Moylan is a School Social Worker based in Big Rapids, MI and is specialized in School. Colin Thomas Moylan practices in Grand Rapids, MI. The NPI Number for Colin Thomas Moylan is 1235745522 and holds a License No. (Michigan).

The current practice location address for Colin Thomas Moylan is 1115 Ball Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-456-6571.

Location: 1115 Ball Ave Ne, Grand Rapids, MI, 49307-2223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235745522
Provider Name
Colin Thomas Moylan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1115 Ball Ave Ne, Grand Rapids, MI, 49307-2223
Phone Number
616-456-6571
Fax Number
Provider Enumeration Date
09/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1115 Ball Ave Ne
City
Grand Rapids
State
Michigan
Zip
49505-5904
Phone Number
616-456-6571
Fax Number
person
Provider Business Mailing Address Details
Address
1115 Ball Ave Ne
City
Grand Rapids
State
Michigan
Zip
49505-5904
Phone Number
616-456-6571
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
1041S0200X
License No.
()
Definition
Definition to come...
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