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1033540687
JESSICA DEMERISE SMALL
BANGOR, ME
NPI
1033540687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME XL4254)
Enumeration Date
2013-12-09
Last Update Date
2024-06-18
Business Address
JESSICA DEMERISE SMALL LCPC
202 EXCHANGE ST
BANGOR, ME 04401-6508
Phone number: 207-941-6434
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Mailing Address
JESSICA DEMERISE SMALL LCPC
202 EXCHANGE ST
BANGOR, ME 04401-6508
Phone number: 207-941-6434
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