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1396753117
JUDITH MOLL
SOUTH PORTLAND, ME
NPI
1396753117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC4856)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
-- JUDITH MOLL LCSW
345 COTTAGE RD
SOUTH PORTLAND, ME 04106-3919
Phone number: 207-767-2500
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Mailing Address
-- JUDITH MOLL LCSW
27 MERRIMAC PL
CAPE ELIZABETH, ME 04107-1624
Phone number: 207-767-3096
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