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1063264083
GLENN ROBERT GORDON
RUMFORD, ME
NPI
1063264083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC8262)
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
GLENN ROBERT GORDON LADC, MHRT-CSP
150 CONGRESS ST
RUMFORD, ME 04276-2035
Phone number: 207-357-1751
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Mailing Address
GLENN ROBERT GORDON LADC, MHRT-CSP
150 CONGRESS ST
RUMFORD, ME 04276-2035
Phone number: 207-357-1751
Copy
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