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1275270001
LIZA BUCK
BANGOR, ME
NPI
1275270001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC8058)
Enumeration Date
2022-05-13
Last Update Date
2022-05-13
Business Address
LIZA BUCK CADC
268 STILLWATER AVE
BANGOR, ME 04401-3980
Phone number: 207-973-6100
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Mailing Address
LIZA BUCK CADC
268 STILLWATER AVE
BANGOR, ME 04401-3980
Phone number: 207-973-6100
Copy
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