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1225279193
JACKIE K SONDROL
FARMINGTON, ME
NPI
1225279193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC3371)
Enumeration Date
2009-03-23
Last Update Date
2009-03-23
Business Address
-- JACKIE K SONDROL
144 HIGH ST
FARMINGTON, ME 04938-1946
Phone number: 207-778-3556
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Mailing Address
-- JACKIE K SONDROL
144 HIGH ST
FARMINGTON, ME 04938-1946
Phone number: 207-778-3556
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