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1164299194
SOUTHERN MAINE PSYCHOTHERAPY LLC
SCARBOROUGH, ME
NPI
1164299194
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Entity Type
Organization
Authorized Contact
MICHAEL JOHNSTON
Provider/Owner
207-200-5621
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-12-11
Last Update Date
2024-01-22
Business Address
SOUTHERN MAINE PSYCHOTHERAPY LLC
20 MUSSEY RD
SCARBOROUGH, ME 04074-9570
Phone number: 207-200-5621
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Mailing Address
SOUTHERN MAINE PSYCHOTHERAPY LLC
723 SAWYER ST
SOUTH PORTLAND, ME 04106-4642
Phone number: 207-200-5621
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