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1790202265
GEORGE FRANK MOODY
WATERVILLE, ME
NPI
1790202265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC15596)
Enumeration Date
2017-08-25
Last Update Date
2017-08-25
Business Address
GEORGE FRANK MOODY LMSW-cc
229 MAIN ST
WATERVILLE, ME 04901-6119
Phone number: 207-616-3703
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Mailing Address
GEORGE FRANK MOODY LMSW-cc
863 E BENTON RD
BENTON, ME 04901-2839
Phone number:
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