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1174124549
ERIC H PENROD
SACO, ME
NPI
1174124549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC19434)
Enumeration Date
2020-11-03
Last Update Date
2020-11-03
Business Address
ERIC H PENROD LMSW-CC
50 MOODY ST
SACO, ME 04072-1536
Phone number: 800-434-3000
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Mailing Address
ERIC H PENROD LMSW-CC
50 MOODY ST
SACO, ME 04072-1536
Phone number: 800-434-3000
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