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1295067734
WILDER HART
AUGUSTA, ME
NPI
1295067734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC4335)
Enumeration Date
2010-02-09
Last Update Date
2021-02-02
Business Address
WILDER HART LADC, CCS
10 CALDWELL RD
AUGUSTA, ME 04330-5735
Phone number: 207-626-3448
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Mailing Address
WILDER HART LADC, CCS
PO BOX 558
AUGUSTA, ME 04332-0558
Phone number: 207-626-3448
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