MRS. Marsha A. Moore

NPI #1073651691 in Bangor, Maine

Provider Information

NPI Number
1073651691
Entity Type
Individual
Name
MRS. Marsha A. Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 3, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
114 SOMERSET ST
City
Bangor
State
Maine
ZIP Code
04401-5326
Phone
(207) 945-6183

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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