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1164809687
KELLY D LANCASTER
PORTLAND, ME
NPI
1164809687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC18719)
Enumeration Date
2015-05-05
Last Update Date
2021-11-05
Business Address
KELLY D LANCASTER LCSW
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
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Mailing Address
KELLY D LANCASTER LCSW
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
Copy
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