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1225048515
LILLIAN MARY LAROSE
SPRINGVALE, ME
NPI
1225048515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC13148)
Enumeration Date
2006-08-09
Last Update Date
2012-09-21
Business Address
-- LILLIAN MARY LAROSE LCSW
474 MAIN ST
SPRINGVALE, ME 04083-1409
Phone number: 207-324-1500
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Mailing Address
-- LILLIAN MARY LAROSE LCSW
78 ATLANTIC PL
SOUTH PORTLAND, ME 04106-2316
Phone number: 207-842-7701
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