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Individual
JODIE LYNN HART
Active
Individual
JODIE LYNN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3990
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432887699
—
ME
Enumeration date
04/24/2008
Last updated
02/06/2014
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