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1184813412
DANIEL EDWARD PEASE
LEWISTON, ME
NPI
1184813412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC1092)
Enumeration Date
2007-10-23
Last Update Date
2007-10-23
Business Address
-- DANIEL EDWARD PEASE LADC/CCS
4 PARK ST SUITE 1
LEWISTON, ME 04240-7172
Phone number: 207-784-0922
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Mailing Address
-- DANIEL EDWARD PEASE LADC/CCS
4 PARK ST SUITE 1
LEWISTON, ME 04240-7172
Phone number: 207-784-0922
Copy
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