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1013336254
MARY BEACH
SOUTH PORTLAND, ME
NPI
1013336254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME XL3731)
Enumeration Date
2014-04-15
Last Update Date
2014-04-15
Business Address
Mrs. MARY BEACH LCPC-C
50 LYDIA LN
SOUTH PORTLAND, ME 04106-2156
Phone number: 207-874-1175
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Mailing Address
Mrs. MARY BEACH LCPC-C
50 LYDIA LN
SOUTH PORTLAND, ME 04106-2156
Phone number: 207-874-1175
Copy
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