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1265746077
ILSE LARRIVEE
SACO, ME
NPI
1265746077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC12594)
Enumeration Date
2010-08-04
Last Update Date
2010-08-04
Business Address
-- ILSE LARRIVEE LMSW-CC
50 MOODY ST
SACO, ME 04072-1536
Phone number: 800-434-3000
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Mailing Address
-- ILSE LARRIVEE LMSW-CC
50 MOODY ST
SACO, ME 04072-1536
Phone number: 800-434-3000
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