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Organization

MARANATHA MISSION HOME NETWORK, INC

Active
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Organization

MARANATHA MISSION HOME NETWORK, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN SHEPERD LADC (PRESIDENT)
(802) 848-9455
Entity
Organization

Contact information

Practice address
2580 COUNTY HIGHWAY 11, HARTWICK, NY 13348-2101
(802) 848-9455
Mailing address
PO BOX 97, RICHFORD, VT 05476-0097

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0126020
VT

Other

Enumeration date
04/16/2018
Last updated
04/16/2018
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