Colleen Una Moody DSP CRMA

NPI 1598092074 - Adult Companion - 372600000X

NPI Details
NPI 1598092074
Gender Female
Enumeration Date 11/04/2009
Last Updated 11/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
198 BIRMINGHAM RD
CHELSEA ME, 04330, US
Phone (207) 582-0016
Fax (207) 582-0016
Business Location
198 BIRMINGHAM RD
CHELSEA ME, 04330, US
Phone (207) 582-0016
Fax (207) 582-0016
Toxanomy
Taxonomy Code 372600000X
License State Maine
License Number ALL53665
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According to our database, Colleen Una Moody DSP CRMA NPI is 1598092074, taxonomy code is 372600000X and license number is ALL53665, license state is located at Maine. Colleen Una Moody DSP CRMA physically located at 198 Birmingham Rd, Chelsea ME, 04330. NPI Number Colleen Una Moody DSP CRMA has the Individual type.

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1598092074 NPI number is provided on an as is basis without warranty of any kind. 1598092074 is maintained by the National Plan & Provider Enumeration System. The contents of Colleen Una Moody DSP CRMA are for informational purposes only.