CHARLES B MOODY

HOULTON, ME
NPI1083824585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: ME  LSX7340)
Enumeration Date2007-05-23
Last Update Date2014-10-09
Business Address
-- CHARLES B MOODY LSW-C
2 WATER ST
HOULTON, ME 04730-2126
Phone number: 207-532-5510
Mailing Address
-- CHARLES B MOODY LSW-C
328 CALLAGHAN RD
HOULTON, ME 04730
Phone number: 207-532-2405
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