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1164766200
JENNIFER KELLEY-YOUNG
PORTLAND, ME
NPI
1164766200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ME LC6257)
Enumeration Date
2012-11-15
Last Update Date
2019-07-08
Business Address
JENNIFER KELLEY-YOUNG LADC
11 BAXTER BLVD
PORTLAND, ME 04101-1801
Phone number: 207-775-5671
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Mailing Address
JENNIFER KELLEY-YOUNG LADC
11 BAXTER BLVD
PORTLAND, ME 04101-1801
Phone number: 207-775-5671
Copy
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