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1093760613
PHILIP ALAN WALTON
BANGOR, ME
NPI
1093760613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME L1596)
Enumeration Date
2006-05-23
Last Update Date
2007-07-08
Business Address
Mr. PHILIP ALAN WALTON CSW-IP
656 STATE ST
BANGOR, ME 04401-5609
Phone number: 207-941-4036
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Mailing Address
Mr. PHILIP ALAN WALTON CSW-IP
656 STATE ST
BANGOR, ME 04401-5609
Phone number: 207-941-4036
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