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1932767548
ANDREA NICOLE MOULT
LEBANON, PA
NPI
1932767548
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Former Name
ANDREA NICOLE COMP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW016854)
Enumeration Date
2019-05-30
Last Update Date
2019-06-11
Business Address
ANDREA NICOLE MOULT LCSW
1700 S LINCOLN AVE
LEBANON, PA 17042-7529
Phone number: 717-272-6621
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Mailing Address
ANDREA NICOLE MOULT LCSW
1459 CLOVER RD
CAMP HILL, PA 17011-1102
Phone number: 717-364-4686
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