ALICIA M WILLIS

PORTLAND, ME
NPI1003986340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  CAC2998)
Enumeration Date2006-11-08
Last Update Date2007-07-09
Business Address
-- ALICIA M WILLIS CAC
17 BISHOP ST
PORTLAND, ME 04103-2659
Phone number: 207-871-1235
Mailing Address
-- ALICIA M WILLIS CAC
899 RIVERSIDE ST
PORTLAND, ME 04103-1070
Phone number: 207-871-1200
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