RISA MOON

PORTLAND, ME
NPI1144360108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  lc9746)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
-- RISA MOON LCSW
609 FOREST AVE 2ND FLOOR
PORTLAND, ME 04101-1515
Phone number: 207-712-4031
Mailing Address
-- RISA MOON LCSW
609 FOREST AVE 2ND FLOOR
PORTLAND, ME 04101-1515
Phone number: 207-712-4031
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