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1427112390
LISA J MOON
NEW LONDON, CT
NPI
1427112390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 8680)
Enumeration Date
2006-12-21
Last Update Date
2021-11-08
Business Address
Ms. LISA J MOON LCSW
21 MONTAUK AVE
NEW LONDON, CT 06320-4906
Phone number: 860-271-4715
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Mailing Address
Ms. LISA J MOON LCSW
PO BOX 390
NEW LONDON, CT 06320-0390
Phone number: 860-271-4715
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