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1144475690
GEORGANA PRUDHOMME
PORTLAND, ME
NPI
1144475690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME LC8342)
Enumeration Date
2008-11-25
Last Update Date
2008-11-25
Business Address
-- GEORGANA PRUDHOMME LCSW
66 PEARL ST
PORTLAND, ME 04101-4165
Phone number: 207-773-9931
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Mailing Address
-- GEORGANA PRUDHOMME LCSW
10 BAYWOOD LN
YARMOUTH, ME 04096-6131
Phone number: 207-847-3086
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