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1952002115
CASEY MOORE
BANGOR, ME
NPI
1952002115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC6734)
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
CASEY MOORE CADC
689 ODLIN RD
BANGOR, ME 04401-6709
Phone number: 207-947-6800
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Mailing Address
CASEY MOORE CADC
689 ODLIN RD
BANGOR, ME 04401-6709
Phone number: 207-947-6800
Copy
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