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1114019759
ELLEN MIRIAM GRUNBLATT
FARMINGTON, ME
NPI
1114019759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME XL3022)
Enumeration Date
2006-09-29
Last Update Date
2020-04-06
Business Address
ELLEN MIRIAM GRUNBLATT MD, LCPC
672 WILTON RD
FARMINGTON, ME 04938-6138
Phone number: 207-778-5792
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Mailing Address
ELLEN MIRIAM GRUNBLATT MD, LCPC
672 WILTON RD
FARMINGTON, ME 04938-6138
Phone number: 207-778-5792
Copy
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