Individual
GEORGE FRANK MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
229 MAIN ST, WATERVILLE, ME 04901-6119
(207) 616-3703
(207) 616-3705
Mailing address
863 E BENTON RD, BENTON, ME 04901-2839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC15596
ME
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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