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1124891445
JENNIFER ALICE MOON
WATERVILLE, ME
NPI
1124891445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC7790)
Enumeration Date
2023-10-31
Last Update Date
2023-10-31
Business Address
JENNIFER ALICE MOON CADC
40 AIRPORT RD
WATERVILLE, ME 04901-4524
Phone number: 207-872-7272
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Mailing Address
JENNIFER ALICE MOON CADC
40 AIRPORT RD
WATERVILLE, ME 04901-4524
Phone number: 207-872-7272
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