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1326149725
LARRY P BOLSTER
BANGOR, ME
NPI
1326149725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC9963)
Enumeration Date
2006-09-26
Last Update Date
2021-05-06
Business Address
LARRY P BOLSTER LCSW
86 DAVIS RD
BANGOR, ME 04401
Phone number: 207-992-2205
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Mailing Address
LARRY P BOLSTER LCSW
PO BOX 1599
BANGOR, ME 04402-1599
Phone number: 207-945-5247
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