NPI 1083824585
Charles B Moody, LSWC
Practice location
- Address
- 2 Water St, Houlton, ME 04730-2126
- Phone
- (207) 532-5510
- Fax
- (207) 532-5518
- Mailing address
- 328 Callaghan Rd, Houlton, ME 04730
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1083824585
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 May 2007
- Record last updated
- 9 Oct 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.