Organization
NEW MOON BODYWORK AND WELLNESS
Active
Organization
NEW MOON BODYWORK AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE MARIE DOUGHERTY LMT (SOLE PROPRIETOR/MASSAGE THERAPIST)
(207) 602-8583
Entity
Organization
Contact information
Practice address
16 ELMWOOD AVE, WESTBROOK, ME 04092-3717
(207) 602-8583
Mailing address
55 LAMBERT ST, APT 13, PORTLAND, ME 04103-2130
(207) 602-8583
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4268
ME
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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