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1083928451
CAROL JEAN WITHAM
BANGOR, ME
NPI
1083928451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: ME MHRT-C)
Enumeration Date
2010-07-28
Last Update Date
2010-10-01
Business Address
Ms. CAROL JEAN WITHAM MHRT-C
273 HAMMOND ST
BANGOR, ME 04401-4610
Phone number: 207-217-6711
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Mailing Address
Ms. CAROL JEAN WITHAM MHRT-C
273 HAMMOND ST
BANGOR, ME 04401-4610
Phone number: 207-217-6711
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