Individual
JUDITH-EVE MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRT-CSP
Contact information
Practice address
104 E MAIN ST, FORT KENT, ME 04743
(207) 834-3186
(207) 834-7190
Mailing address
180 ACADEMY ST STE 3, PRESQUE ISLE, ME 04769-3183
(207) 554-2352
(207) 554-2351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
02/02/2021
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