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1225330699
MICHAEL ROBERT ROY
LEWISTON, ME
NPI
1225330699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC4788)
Enumeration Date
2010-11-17
Last Update Date
2010-11-17
Business Address
-- MICHAEL ROBERT ROY CADC
461 EAST AVE
LEWISTON, ME 04240-4044
Phone number: 207-782-3386
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Mailing Address
-- MICHAEL ROBERT ROY CADC
461 EAST AVE
LEWISTON, ME 04240-4044
Phone number: 207-782-3386
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