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1104192640
KAYLA WARREN
LEWISTON, ME
NPI
1104192640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC 5017)
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
-- KAYLA WARREN
1155 LISBON ST
LEWISTON, ME 04240-5025
Phone number: 207-783-9141
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Mailing Address
-- KAYLA WARREN
1155 LISBON ST
LEWISTON, ME 04240-5025
Phone number: 207-783-9141
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