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1013931492
MELODY L BOULTON
PORTLAND, ME
NPI
1013931492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: ME R026582)
Enumeration Date
2006-07-27
Last Update Date
2024-10-27
Business Address
-- MELODY L BOULTON PMHCNS-BC
413 LUDLOW ST
PORTLAND, ME 04102-1544
Phone number: 207-871-0013
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Mailing Address
-- MELODY L BOULTON PMHCNS-BC
413 LUDLOW ST
PORTLAND, ME 04102-1544
Phone number: 207-871-0013
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