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1154590412
THEODORE EMERSON CHAFFEE
PORTLAND, ME
NPI
1154590412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ME MF529)
Enumeration Date
2008-02-20
Last Update Date
2008-02-20
Business Address
Mr. THEODORE EMERSON CHAFFEE LMFT
17 SOUTH ST
PORTLAND, ME 04101-3914
Phone number: 207-773-6772
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Mailing Address
Mr. THEODORE EMERSON CHAFFEE LMFT
17 SOUTH ST
PORTLAND, ME 04101-3914
Phone number: 207-773-6772
Copy
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