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1194964114
MAXINE WOLPH-JOHNSON
WATERVILLE, ME
NPI
1194964114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC122)
Enumeration Date
2009-02-14
Last Update Date
2009-02-14
Business Address
-- MAXINE WOLPH-JOHNSON
18 COMMON ST
WATERVILLE, ME 04901-6678
Phone number: 207-696-4225
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Mailing Address
-- MAXINE WOLPH-JOHNSON
PO BOX 288
ANSON, ME 04911-0288
Phone number:
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