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1134469380
SUSAN MINER
DAMARISCOTTA, ME
NPI
1134469380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC15217)
Enumeration Date
2013-02-26
Last Update Date
2016-02-24
Business Address
-- SUSAN MINER
7 CHURCH ST
DAMARISCOTTA, ME 04543
Phone number: 207-380-4011
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Mailing Address
-- SUSAN MINER
PO BOX 792
DAMARISCOTTA, ME 04543-0792
Phone number: 207-380-4011
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