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1346378197
BRETT RUSSMAN
PORTLAND, ME
NPI
1346378197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME CC3179)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- BRETT RUSSMAN LCSW
343 FOREST AVE
PORTLAND, ME 04101-2006
Phone number: 207-874-1030
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Mailing Address
-- BRETT RUSSMAN LCSW
343 FOREST AVE
PORTLAND, ME 04101-2006
Phone number: 207-874-1030
Copy
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