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1265799704
ANTOINETTE NICOLE MOODY
LEBANON, NH
NPI
1265799704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-04-23
Last Update Date
2018-11-09
Business Address
ANTOINETTE NICOLE MOODY
85 MECHANIC ST STE 360
LEBANON, NH 03766-1537
Phone number: 603-448-5610
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Mailing Address
ANTOINETTE NICOLE MOODY
9 HANOVER ST STE 2
LEBANON, NH 03766-1312
Phone number: 603-448-0126
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