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1326519604
STEPHANIE F POTTS
PORTLAND, ME
NPI
1326519604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC6541)
Enumeration Date
2018-12-11
Last Update Date
2018-12-11
Business Address
STEPHANIE F POTTS
11 BAXTER BLVD
PORTLAND, ME 04101-1801
Phone number: 207-775-5671
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Mailing Address
STEPHANIE F POTTS
48 PITT ST APT 3
PORTLAND, ME 04103-4888
Phone number: 207-671-5778
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