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1285176677
JENNIFER QUEALLY
SOUTH PORTLAND, ME
NPI
1285176677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME XL4650)
Enumeration Date
2016-11-16
Last Update Date
2016-11-16
Business Address
-- JENNIFER QUEALLY LCPC-C
60 CHASE ST
SOUTH PORTLAND, ME 04106-3931
Phone number: 207-329-3769
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Mailing Address
-- JENNIFER QUEALLY LCPC-C
60 CHASE ST
SOUTH PORTLAND, ME 04106-3931
Phone number: 207-329-3769
Copy
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