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1184639528
JUDITH L ENTWISTLE
SCARBOROUGH, ME
NPI
1184639528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC6250)
Enumeration Date
2006-07-31
Last Update Date
2008-10-01
Business Address
-- JUDITH L ENTWISTLE LCSW
15 HOLLY ST
SCARBOROUGH, ME 04074-8867
Phone number: 207-396-5335
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Mailing Address
-- JUDITH L ENTWISTLE LCSW
18 SMITHWHEEL RD APT 5
OLD ORCHARD BEACH, ME 04064-1035
Phone number: 207-934-0563
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