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1184050866
KATHLEEN COLE FALLON
PORTLAND, ME
NPI
1184050866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ME CC2761)
Enumeration Date
2013-09-25
Last Update Date
2013-09-25
Business Address
KATHLEEN COLE FALLON MS LCPC NCC
550 FOREST AVE SUITE 200
PORTLAND, ME 04101-1505
Phone number: 207-370-0623
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Mailing Address
KATHLEEN COLE FALLON MS LCPC NCC
1414 FOREST AVE UNIT 9
PORTLAND, ME 04103-1161
Phone number: 207-370-0623
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