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1326550948
SUSAN WIGGIN
PORTLAND, ME
NPI
1326550948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC15143)
Enumeration Date
2017-11-05
Last Update Date
2017-11-05
Business Address
Ms. SUSAN WIGGIN
190 LANCASTER ST
PORTLAND, ME 04101-2418
Phone number: 207-553-5866
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Mailing Address
Ms. SUSAN WIGGIN
45 MONTROSE AVE
PORTLAND, ME 04103-2442
Phone number: 207-423-2953
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