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1083920169
HEATHER A. TRICKETT
PORTLAND, ME
NPI
1083920169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC16008)
Enumeration Date
2010-08-26
Last Update Date
2017-03-21
Business Address
Ms. HEATHER A. TRICKETT LCSW
165 LANCASTER ST
PORTLAND, ME 04101-2406
Phone number: 207-874-1030
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Mailing Address
Ms. HEATHER A. TRICKETT LCSW
300 SOUTHBOROUGH DR SUITE 201
SOUTH PORTLAND, ME 04106-6914
Phone number: 207-661-2018
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