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1003944752
ANDREW PARKER
SOUTH PORTLAND, ME
NPI
1003944752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC9966)
Enumeration Date
2007-03-02
Last Update Date
2007-07-10
Business Address
-- ANDREW PARKER LCSW
854 BROADWAY
SOUTH PORTLAND, ME 04106-2712
Phone number: 207-776-8146
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Mailing Address
-- ANDREW PARKER LCSW
117 OSBORNE AVE
SOUTH PORTLAND, ME 04106-4447
Phone number: 207-776-8146
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