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1093496416
KIM DECARLO
PORTLAND, ME
NPI
1093496416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC22283)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
KIM DECARLO
535 OCEAN AVE STE 4
PORTLAND, ME 04103-4970
Phone number: 207-370-5389
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Mailing Address
KIM DECARLO
112 SHERIDAN ST APT 1
PORTLAND, ME 04101-2626
Phone number: 914-552-7144
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