Individual
JULIE MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRSW
Contact information
Practice address
745 N MAIN ST, LACONIA, NH 03246-2715
(603) 413-2757
Mailing address
745 N MAIN ST, LACONIA, NH 03246-2715
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0244
NH
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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