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1073031340
MARK ALLEN BENNETT
BANGOR, ME
NPI
1073031340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME XL4496)
Enumeration Date
2017-09-06
Last Update Date
2018-05-01
Business Address
Mr. MARK ALLEN BENNETT LCPC-c
166 BROADWAY
BANGOR, ME 04401-5208
Phone number: 207-947-9630
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Mailing Address
Mr. MARK ALLEN BENNETT LCPC-c
166 BROADWAY
BANGOR, ME 04401-5208
Phone number: 207-992-3036
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