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1316182546
GEORGE RUSSELL
BANGOR, ME
NPI
1316182546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC7659)
Enumeration Date
2008-12-02
Last Update Date
2008-12-02
Business Address
-- GEORGE RUSSELL LCSW
77 COURT ST
BANGOR, ME 04401-4723
Phone number: 207-941-0879
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Mailing Address
-- GEORGE RUSSELL LCSW
77 COURT ST
BANGOR, ME 04401-4723
Phone number: 207-941-0879
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