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1194059873
STEVEN WALTER CONWAY
PORTLAND, ME
NPI
1194059873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC4409)
Enumeration Date
2009-09-28
Last Update Date
2009-09-28
Business Address
-- STEVEN WALTER CONWAY CADC
142 HIGH ST SUITE 416
PORTLAND, ME 04101-2851
Phone number: 207-780-8999
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Mailing Address
-- STEVEN WALTER CONWAY CADC
142 HIGH ST SUITE 416
PORTLAND, ME 04101-2851
Phone number: 207-780-8999
Copy
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