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1104922293
SUSAN GARRY
AUGUSTA, ME
NPI
1104922293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC1256)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
-- SUSAN GARRY LADC
32 WINTHROP ST
AUGUSTA, ME 04330-5624
Phone number: 207-626-3448
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Mailing Address
-- SUSAN GARRY LADC
32 WINTHROP ST
AUGUSTA, ME 04330-5624
Phone number: 207-626-3448
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