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1184995516
TINA L ROY
WATERVILLE, ME
NPI
1184995516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC5007)
Enumeration Date
2012-01-17
Last Update Date
2012-01-17
Business Address
-- TINA L ROY LADC
16 COMMON ST
WATERVILLE, ME 04901-6611
Phone number: 207-872-7272
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Mailing Address
-- TINA L ROY LADC
8 RUSSELL ST
WATERVILLE, ME 04901-5242
Phone number:
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