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1043530611
GREGORY BENJAMIN PERCHIK
PORTLAND, ME
NPI
1043530611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC14666)
Enumeration Date
2010-06-07
Last Update Date
2020-11-02
Business Address
GREGORY BENJAMIN PERCHIK LCSW
165 LANCASTER ST
PORTLAND, ME 04101-2406
Phone number: 207-874-1030
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Mailing Address
GREGORY BENJAMIN PERCHIK LCSW
78 ATLANTIC PL
SOUTH PORTLAND, ME 04106-2316
Phone number: 207-661-6654
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