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1316371461
JACQUELINE DIANE DIMICK
YARMOUTH, ME
NPI
1316371461
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Former Name
JACQUELINE DIANE ROGERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME CC4994)
Enumeration Date
2013-08-26
Last Update Date
2024-03-04
Business Address
JACQUELINE DIANE DIMICK MEd, LCPC
251 MAIN ST STE 6
YARMOUTH, ME 04096-6754
Phone number: 207-844-4997
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Mailing Address
JACQUELINE DIANE DIMICK MEd, LCPC
251 MAIN ST STE 6
YARMOUTH, ME 04096-6754
Phone number: 207-844-4997
Copy
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