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1124315478
BRENT STEPHEN BAILEY
BANGOR, ME
NPI
1124315478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225C00000X Rehabilitation Counselor
(Licence: 00107933)
Enumeration Date
2011-07-07
Last Update Date
2011-07-07
Business Address
Mr. BRENT STEPHEN BAILEY CRC, LSW
166 BROADWAY
BANGOR, ME 04401-5208
Phone number: 207-947-9630
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Mailing Address
Mr. BRENT STEPHEN BAILEY CRC, LSW
166 BROADWAY
BANGOR, ME 04401-5208
Phone number: 207-947-9630
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